Individual provider Active NPI

Gabrielle Nicolas, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1720428782
Registry record updated Jul 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332360-1 Issued in NY
Practice address
477 18TH St
Brooklyn, NY 11215-6207
Phone
(347) 268-6626
Fax
(718) 965-0546
NPI assigned
Jul 4, 2013
Last updated
Jul 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F332360-1 NY Primary

Addresses

Primary practice location

477 18TH St
Brooklyn, NY 11215-6207

Mailing address

477 18TH St
Brooklyn, NY 11215-6207
Phone (347) 268-6626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F332360-1NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: gabrielle.nicolas.1@24989.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372896000000",
    "number": "1720428782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 18TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156207",
            "telephone_number": "347-268-6626",
            "fax_number": "718-965-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 18TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156207",
            "telephone_number": "347-268-6626",
            "fax_number": "718-965-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "GABRIELLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-04",
        "last_updated": "2013-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332360-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2013; 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.