Individual provider Active NPI

Nathalie Ann Sicard, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Queens Village, NY
National Provider Identifier
1851880108
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340936-1 Issued in NY
Practice address
22147 Murdock Ave
Queens Village, NY 11429-2629
Phone
(718) 564-5343
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2018

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 F340936-1 NY Primary

Addresses

Primary practice location

22147 Murdock Ave
Queens Village, NY 11429-2629

Mailing address

22147 Murdock Ave
Queens Village, NY 11429-2629
Phone (718) 564-5343

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
F340936-1NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: nathalie.sicard.1@24989.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1851880108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22147 MURDOCK AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292629",
            "telephone_number": "718-564-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22147 MURDOCK AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292629",
            "telephone_number": "718-564-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICARD",
        "first_name": "NATHALIE",
        "middle_name": "ANN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340936-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.