Nicole Knudsen

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

755566 Issued in NY

Practice address

82 Turkey LN
Cold Spring Harbor, NY 11724-1703

Phone

(631) 367-6904

NPI assigned

Mar 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1922683044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CARRINGTON DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TURKEY LN",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117241703",
            "telephone_number": "631-367-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "755566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Juliano, LCSW
• Patricia Kalvar, D.P.M.
• Brigitte Kaplan
• Stephanie Kelly, PT
• Susan Klosiewicz, MS ED
• Theodore Stephen Kurtz
• Jaclyn A Kurz, LMSW
• Pamela Sue Lawson, OTR
• Jodi Lerner
• Suzanne Catherine Main-Wegielnik, PH.D.

• All providers in Cold Spring Harbor, NY
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.