Active NPI
Thomas E Fickett, NP
- Adult Health Nurse Practitioner
- Hamburg, NY
National Provider Identifier
1902863244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F3001571
- Practice address
- 151 Elmview Avenue
Hamburg Health Center
Hamburg, NY 14075 - Phone
- (716) 648-3040
- Fax
- (716) 656-4254
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F3001571 | NY | Primary |
Addresses
Primary practice location
151 Elmview Avenue
Hamburg Health Center
Hamburg, NY 14075
Mailing address
120 Gardenville Pkwy W
Attn: Betty Piccillo
West Seneca, NY 14224-1324
Phone (716) 857-6150
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040426003266 | Other | NY | FIDELIS CARE |
| 000560333004 | Other | NY | BCBS OF WNY |
| 10767637 | Other | NY | CAQH |
| 9590202 | Other | NY | IHA |
| 177020BJ | Other | NY | PREFERRED CARE |
| P00186991 | Other | NY | MEDICARE RAILROAD |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3001571 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1902863244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 GARDENVILLE PKWY W",
"address_2": "ATTN: BETTY PICCILLO",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142241324",
"telephone_number": "716-857-6150",
"fax_number": "716-656-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 ELMVIEW AVENUE",
"address_2": "HAMBURG HEALTH CENTER",
"city": "HAMBURG",
"state": "NY",
"postal_code": "14075",
"telephone_number": "716-648-3040",
"fax_number": "716-656-4254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICKETT",
"first_name": "THOMAS",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F3001571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE",
"identifier": "040426003266",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF WNY",
"identifier": "000560333004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10767637",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "9590202",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "177020BJ",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00186991",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.