CHERYL MARIE NICKERSON (NPI# 1205919578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205919578 |
| Entity Type | Individual |
| Full Name | CHERYL MARIE NICKERSON |
| Other Name | CHERYL MARIE FONAINE |
| Credential | G.N.P. |
| Practice Address |
7009 Rumsey Rd Extension Bath NY 14810 |
| Mailing Address |
150 Prattsburg Rd. Naples NY 14512 |
| Practice Telephone | 6076619114 |
| Practice Fax Number | 6076641020 |
| Mailing Telephone | 5859431538 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
340488 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F340488-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02829629 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902181860 | Cheryl A Nickerson | Occupational Therapist | 4140 Centennial Hills Blvd, Ste A, Casper, WY 82609-3265 | 2011-10-11 |
| Street Address |
7009 RUMSEY RD EXTENSION |
| City | BATH |
| State | NY |
| Zip Code | 14810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
| 1790186872 | Aspirehope Ny, Inc. | Respite Care | 25 West Steuben St., Bath, NY 14810 | 2014-09-09 |
| 1679858096 | Jean M Wheeler | Social Worker | 216 Maple Heights, Bath, NY 14810 | 2011-10-17 |
| 1841506003 | Syed M.a. Ehtisham | Orthopaedic Surgery | 7124 Snyder Hill Road, Bath, NY 14810 | 2010-08-26 |
| 1316278831 | Sandra D Martins-skolny | Physical Therapist | 111 Williamson Terrace, Nt, Bath, NY 14810 | 2010-01-22 |
| 1417188947 | Steuben County Office for The Aging | Public Health or Welfare | 3 East Pulteney Sq, Bath, NY 14810 | 2009-07-31 |
| 1619115870 | Judy Ann Thompson | Licensed Practical Nurse | 15 Geneva Street, Bath, NY 14810 | 2009-01-27 |
| 1407020100 | Cathleen A Russell | Licensed Practical Nurse | 6842 Craig Road, Bath, NY 14810 | 2008-04-15 |
| 1952572356 | Institute for Human Services | Case Management | 6666 County Road 11, Bath, NY 14810 | 2008-03-13 |
| 1073791984 | Gerri Ellen Brink | Licensed Practical Nurse | 5635 Tamarack Ln, Bath, NY 14810 | 2008-02-01 |
| Find all providers in zip 14810 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003113630 | Muriel S Brown | Nurse Practitioner | 76 Veterans Ave, Bath, NY 14810-0810 | 2011-02-17 |
| 1639125784 | Deborah Lee Dieterle | Nurse Practitioner | 76 Veterans Ave, Bath, NY 14810-0810 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013415 | Carl Mark Cacciotti | Nurse Practitioner | 81 Sweetmilk Creek Rd, Troy, NY 12180-9100 | 2020-11-03 |
| 1356942957 | Violeta Izrailov | Nurse Practitioner | 7529 187th St, Fresh Meadows, NY 11366-1725 | 2020-11-02 |
| 1063028041 | Alanna Baldassarre | Nurse Practitioner | 1 Daywood Ct, East Northport, NY 11731-3446 | 2020-09-16 |
| 1316553399 | Jacqueline Abbatiello | Nurse Practitioner | 66 Wickey Ave, Westbury, NY 11590-2005 | 2020-09-16 |
| 1235760612 | Sumra Abbasi | Nurse Practitioner | 6 S Georgia St, Valley Stream, NY 11580-2309 | 2020-02-04 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1508412503 | Julie Marie Giles | Nurse Practitioner | 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 | 2019-08-15 |
| 1952874604 | Alice M Carrington | Nurse Practitioner | 61 Syracuse St, Baldwinsville, NY 13027-2929 | 2019-01-05 |
| 1629597224 | Guerdy M Michel-loiseau | Nurse Practitioner | 90-01 Broadway, Elmhurst, NY 11373 | 2017-09-14 |
| 1396297354 | Ann-marie Campbell | Nurse Practitioner | 1292 E 93rd St, Brooklyn, NY 11236-4321 | 2016-10-25 |
| Find all providers with the same taxonomy | ||||
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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.