Laura Nickolai, COMS; CVRT

Primary specialty

SpecialistTaxonomy code 174400000X

License

3299 Issued in NY

Practice address

8017A Marlin Dr
Clay, NY 13041-8926

Phone

(315) 699-6133

NPI assigned

Jun 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1659634723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017A MARLIN DR",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418926",
            "telephone_number": "315-699-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8017A MARLIN DR",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418926",
            "telephone_number": "315-699-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKOLAI",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "COMS; CVRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "3299",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Lynch, L.P.N.
• Trina Veronica Mathias, LPN
• Anthony Mondo, OD
• Suzaura Muller, LPN
• Jason A Myers, MSPT
• Danielle M O'Brien
• Olga Bartley
• Patty-Roy Foundation, Inc.
• Lindsay Priest
• Gisela Inge Puccini, LPN

• Specialist in Clay, NY
• Providers in Clay, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.