Nicole Vicioso, RN, PNP, CNS

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

17971 Issued in CA

Practice address

455 S Main St
Orange, CA 92868-3835

Phone

(714) 532-8421

NPI assigned

Jul 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Pando Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1831354778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 38TH ST",
            "address_2": "UNIT B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633060",
            "telephone_number": "949-646-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683835",
            "telephone_number": "714-532-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICIOSO",
        "first_name": "NICOLE",
        "credential": "RN, PNP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "17971",
            "primary": true
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "CA",
            "license": "1731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PANDO",
            "credential": "RN, PNP, CNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunil Verma, M.D.
• Ashley Jasmin Vertin
• Matilda Vertiz
• Christine VI
• Danielle Vicencio, APCC
• Mary Joanna Vickers, MSW
• Victor Yu-Ching Hsu, M.D., Inc.
• Kelsi Maureen Victores
• Aaron Alejo Vidales
• Araceli Vidales, M.A., AMFT

• Pediatric Nurse Practitioner in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.