LAURA NICOLL (NPI# 1184611840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184611840 |
| Entity Type | Individual |
| Full Name | LAURA NICOLL |
| Credential | MD |
| Practice Address |
855 State Route 17m Monroe NY 10950-1600 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 227750 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
855 STATE ROUTE 17M |
| City | MONROE |
| State | NY |
| Zip Code | 10950-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992797500 | Kimberly A. Estler | Obstetrics & Gynecology | 855 State Route 17m, Monroe, NY 10950-1600 | 2005-08-19 |
| 1003463803 | Alyssa Danielle Bujalski | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2019-08-26 |
| 1164944294 | Taisha S Davis | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2017-07-11 |
| 1154861060 | Caitlin Lakeman | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2017-02-27 |
| 1760931844 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 855 State Route 17m, Monroe, NY 10950-1600 | 2016-09-29 |
| 1649633355 | Rashek Kazi | Dermatology | 855 State Route 17m, Monroe, NY 10950-1600 | 2016-03-30 |
| 1720462369 | Zohra Ludmerer | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2015-07-14 |
| 1922409994 | Munish Kumar | Pediatrics | 855 State Route 17m, Monroe, NY 10950-1600 | 2014-09-10 |
| 1265844898 | Ashwin Vilas Rangavajjula | Pain Medicine | 855 State Route 17m, Monroe, NY 10950-1600 | 2014-06-02 |
| 1174941967 | Bhakti Shah | Internal Medicine | 855 State Route 17m, Monroe, NY 10950-1600 | 2014-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
| 1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
| 1740719038 | Heartstrings LLC | Home Health | 6 Mountain Road, Unit 204, Monroe, NY 10950 | 2017-06-08 |
| 1841739752 | Committed Home Care Inc. | Home Health | 14 Fillmore Court Unit 311, Monroe, NY 10950 | 2017-02-13 |
| 1104362813 | Alison Guiney | Case Manager/Care Coordinator | 101 Stage Road, Monroe, NY 10950 | 2017-01-19 |
| 1710436332 | Elite Services Ny Inc. | Home Health | 48 Bakertown Road Suite 204, Monroe, NY 10950 | 2016-09-23 |
| 1780047084 | Stephanie Santiago | Occupational Therapy Assistant | 27 Sandra Ln, Monroe, NY 10950 | 2016-04-04 |
| 1851770440 | Priority Home Care Services, Inc. | Home Health | 48 Bakertown Road, Suite 204, Monroe, NY 10950 | 2015-05-28 |
| 1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
| 1942694377 | Yenty Fischel | Occupational Therapist | 1 Diner Rd, Monroe, NY 10950 | 2015-03-24 |
| Find all providers in zip 10950 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124832 | Jessica Womack | Family Medicine | 527 W Hurd Rd, Monroe, MI 48162-9205 | 2020-05-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1457822991 | Affinity Health Group, LLC | Family Medicine | 920 Oliver Rd Ste A2, Monroe, LA 71201-5702 | 2018-12-10 |
| 1144601121 | Rebecca Redding | Family Medicine | 924 W Spring St Ste A, Monroe, GA 30655-1751 | 2015-06-15 |
| 1285069088 | Geaux Family Health, LLC | Family Medicine | 2408 Duval Dr, Suite 1, Monroe, LA 71201-2986 | 2013-09-11 |
| 1033559844 | Mvhe, Inc | Family Medicine | 20 Overbrook Dr Ste C, Monroe, OH 45050-1147 | 2013-06-26 |
| 1982048237 | Erin Robinson Breard | Family Medicine | 3995 Sterlington Rd, Ste A, Monroe, LA 71203-3723 | 2013-04-17 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1598015968 | Urban Medical Clinic, Inc. | Family Medicine | 1910 Jackson St., Monroe, LA 71202-2532 | 2012-09-13 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.