Individual provider Active NPI

Nicolle Marcia Horowitz, L.P.N., R.N., N.P.

  • Registered Nurse
  • Commack, NY
National Provider Identifier
1952586604
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
427022-1 Issued in NY
Practice address
14 Caramel CT
Commack, NY 11725-1007
Phone
(631) 486-6787
Fax
(631) 486-6787
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 427022-1 NY Primary
Licensed Practical Nurse 164W00000X 198633-1 NY
Gerontology Nurse Practitioner 363LG0600X F340181-1 NY

Addresses

Primary practice location

14 Caramel CT
Commack, NY 11725-1007

Mailing address

14 Caramel CT
Commack, NY 11725-1007
Phone (631) 368-7363

Other identifiers 1

IdentifierTypeStateIssuer
01226186MedicaidNY

Other names 1

  • Miss Nicolle Marcia Allicock Former name

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
427022-1NYMDRegistered Nurse
198633-1NYMDLicensed Practical Nurse
F340181-1NYMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1952586604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CARAMEL CT",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251007",
            "telephone_number": "631-368-7363",
            "fax_number": "631-368-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CARAMEL CT",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251007",
            "telephone_number": "631-486-6787",
            "fax_number": "631-486-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "NICOLLE",
        "middle_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "L.P.N., R.N., N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "427022-1",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "198633-1",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340181-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01226186",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLLE",
            "last_name": "ALLICOCK",
            "middle_name": "MARCIA",
            "prefix": "MISS",
            "credential": "L.P.N., R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.