Nancy A Ciuk, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

14566 Issued in MA

Practice address

15 Stoddard Ave
Pittsfield, MA 01201-4215

Phone

(413) 448-2447

Fax

(413) 448-2450

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Stoddard Medical Associates, LLC

  • Adult Health Nurse Practitioner
  • Pittsfield, MA
  • NPI 1356421713
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891875324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STODDARD AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014215",
            "telephone_number": "413-448-2447",
            "fax_number": "413-448-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STODDARD AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014215",
            "telephone_number": "413-448-2447",
            "fax_number": "413-448-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIUK",
        "first_name": "NANCY",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "14566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326020",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Jean Ciepiela
• Nathan Daniel Cintron, D.C.
• Circa7Wellness LLC
• City of Pittsfield
• City of Pittsfield
• Ashley Nicole Clancy-Gagnon, AUD
• Mary Alyce Clark Webster, LCSW
• Christine Clark, NP
• Vanessa Marie Clark, BA
• Richard F Clarke, M.D.

• Adult Health Nurse Practitioner in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.