MR. ALEXANDER ELY NICHOLSON (NPI# 1669737466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669737466 |
| Entity Type | Individual |
| Full Name | MR. ALEXANDER ELY NICHOLSON |
| Credential | NPP |
| Practice Address |
711 Troy Schenectady Rd Ste 202 Latham NY 12110-2461 |
| Practice Telephone | 5187823703 |
| Practice Fax Number | 5187823809 |
| Mailing Telephone | (518) 782-3703 |
| Mailing Fax Number | 5187823809 |
| Enumeration Date | 2012-07-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401487-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 West Ave Ste 205, Saratoga Springs, NY 128666064 | 5185870499 | 5185870536 |
| 2 Executive Park Dr, Suite 16, Albany, NY 122033700 | 5184380033 | 5184380055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639529423 | Alexander Nicholson | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2016-06-13 |
| 1497188197 | Alexander Joseph Nicholson | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Ste 510, Ohsu, Honolulu, HI 96813-2409 | 2013-08-16 |
| Street Address |
711 TROY SCHENECTADY RD STE 202 |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679533400 | Ronny Kafiluddi | Pain Medicine | 711 Troy Schenectady Rd Ste 202, Latham, NY 12110-2461 | 2006-03-24 |
| 1922634757 | Heather Lynn Maggio | Nurse Practitioner | 711 Troy Schenectady Rd Ste 202, Latham, NY 12110-2461 | 2020-03-12 |
| 1508326380 | Community Care Physicians, PC | Anesthesiology | 711 Troy Schenectady Rd Ste 202, Latham, NY 12110-2461 | 2019-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750290 | Sarah K Covert Nurse Practitioner In Psychiatry Pllc | Nurse Practitioner | 711 Troy Schenectady Rd Ste 12110, Latham, NY 12110-2442 | 2020-04-30 |
| 1790006526 | Christopher Viagrande | Nurse Practitioner | 36 British American Blvd, Suite 102, Latham, NY 12110-1410 | 2010-06-16 |
| 1174723779 | Lisa A Oberg | Nurse Practitioner | 11 Century Hill Drive, Suite 206, Latham, NY 12110-2151 | 2007-07-20 |
| 1770032302 | Marjorie Russell Np In Psychiatry, Pllc | Nurse Practitioner | 36 British American Blvd, Ste 102, Latham, NY 12110-1410 | 2016-09-23 |
| 1437608064 | Laurie Pollard | Nurse Practitioner | 36 British American Blvd, Suite 102, Latham, NY 12110-1410 | 2016-09-23 |
| 1295187433 | Sarah Covert | Nurse Practitioner | 36 British American Blvd, Suite 102, Latham, NY 12110-1410 | 2016-07-12 |
| 1497113427 | Marjorie Russell | Nurse Practitioner | 36 British American Blvd, Ste 102, Latham, NY 12110-1410 | 2016-02-04 |
| 1518048479 | Elizabeth Ann Riley | Nurse Practitioner | 711 Troy Schenectady Rd, Suite 203, Latham, NY 12110-2442 | 2006-10-18 |
| 1124117403 | Melissa S Goodemote | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. ALEXANDER ELY NICHOLSON.
| 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.