Nicole Kendall, ND
Individual provider Active NPI Naturopath · Woodbury, NY
NPI 1992449532 · NPPES record last updated Apr 20, 2022
Key facts
- NPI
- 1992449532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- Practice address
- 315 Crossways Park Dr Ste B
Woodbury, NY 11797-2066 - Phone
- (631) 213-7190
- NPI assigned
- Apr 20, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Naturopath | 175F00000X | Yes |
Addresses
Primary practice location
315 Crossways Park Dr Ste B
Woodbury, NY 11797-2066
Mailing address
30 N Gould St Ste R
Sheridan, WY 82801-6317
Phone (631) 213-7190
Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.