Pauline E Nardella, FNP, MS, MPA, IBCLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

341079 Issued in NY

Practice address

2 PVT Lovett CT
Blauvelt, NY 10913-1247

Phone

(845) 323-1830

NPI assigned

Mar 11, 2010

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

Other names 1

• Pauline E White-Nardella Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1740503259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PVT LOVETT CT",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131247",
            "telephone_number": "845-323-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PVT LOVETT CT",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131247",
            "telephone_number": "845-323-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDELLA",
        "first_name": "PAULINE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "FNP, MS, MPA, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341079",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR12756700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "WHITE-NARDELLA",
            "middle_name": "E",
            "credential": "FNP-BC, MS, MPA, IBC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katelyn Anne McDonagh, LMSW
• Oisin McElligott, COTA
• Julianna Michael, MS
• Lauren Mongiori, LCSW
• Maria Fernanda Monteiro, CASAC-T
• Natural Balance Acupuncture PC
• Nora O Neill
• Mary Kathryn O'Callaghan, PT
• Loryn O'Gorman, RN
• Bernadette O'Shea

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.