Individual provider Active NPI

Timothy David Padlick, RN

  • Registered Nurse
  • Auburn, NY
National Provider Identifier
1841961638
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
824083 Issued in NY
Practice address
144 Genesee St Ste 401
Auburn, NY 13021-3511
Phone
(315) 253-8477
Fax
(315) 515-3191
NPI assigned
Sep 22, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 824083 NY Primary

Addresses

Primary practice location

144 Genesee St Ste 401
Auburn, NY 13021-3511

Mailing address

144 Genesee St Ste 500
Auburn, NY 13021-3510
Phone (315) 253-8477

Other practice location 1

13 N Fulton St
Auburn, NY 13021-2703
Phone (315) 612-3194

Other practice location 2

13 N Fulton St
Auburn, NY 13021-2703
Phone (315) 612-3191

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
824083NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
East Hill Family Medical, Inc. CurrentSince Jan 15, 2007 Accepting new patients
East Hill Family Medical, Inc. CurrentSince Apr 13, 2025 Accepting new patients

Locations

13 N Fulton St
Auburn, NY 13021
Phone (315) 253-8477

144 Genesee St
Ste 401
Auburn, NY 13021
Phone (315) 253-8477

144 Genesee St
Ste 500
Auburn, NY 13021
Phone (315) 253-6796

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1841961638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 GENESEE ST STE 500",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213510",
            "telephone_number": "315-253-8477",
            "fax_number": "315-515-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 GENESEE ST STE 401",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213511",
            "telephone_number": "315-253-8477",
            "fax_number": "315-515-3191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 N Fulton St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130212703",
            "country_code": "US",
            "telephone_number": "315-612-3194",
            "fax_number": "315-515-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13 N Fulton St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130212703",
            "country_code": "US",
            "telephone_number": "315-612-3191",
            "fax_number": "315-515-3191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADLICK",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "824083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.