Nicole Alison Deyette, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F351981 Issued in NY

Practice address

585 New Loudon Rd
Latham, NY 12110-5701

Phone

(518) 783-1472

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nicole Alison Nista Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicoledeyettefnp@hssmdpc.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Humera S Syeda MDPC

  • Obstetrics & Gynecology Physician
  • Albany, NY
  • NPI 1447095583

  NY

  Medicare reassignment Care Compare group NPD
• Lee and Burack OB/GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Albany, NY
  • NPI 1801983788
  NPD (past)
• McGinnis Womens Medical Care, PC

  • Obstetrics & Gynecology Physician
  • Albany, NY
  • NPI 1194746941
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Humera S Syeda MDPC 3 clinicians

Practice addresses (Care Compare)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1598548760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105701",
            "telephone_number": "518-783-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105701",
            "telephone_number": "518-783-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYETTE",
        "first_name": "NICOLE",
        "middle_name": "ALISON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NISTA",
            "middle_name": "ALISON",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ciera Rae Denovellis, FNP-BC
• Bharuna D Deodat
• Shawna Depace, BSN, RN
• Developmental Pediatrics, PLLC
• Scott Cameron Dexter, M.D.
• Serafina Diamond
• Carl Diaz-Parker
• Gloria Diaz, MHC
• Luis Daniel Diaz, M.D.
• Miguel Angel Diaz, M.D.

• All providers in Latham, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.