NICELEE FALL HOLLENBACK


Address: 222 S Albany St Ste 1, Ithaca, NY 14850-5480
Phone: 6073425728

NICELEE FALL HOLLENBACK (NPI# 1801172614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801172614
Entity Type Individual
Full Name NICELEE FALL HOLLENBACK
Credential NPP
Practice Address 222 S Albany St Ste 1
Ithaca
NY 14850-5480
Mailing Address 28 Goodband Rd
Freeville
NY 13068-9651
Practice Telephone 6073425728
Practice Fax Number 6072384687
Mailing Telephone 6073425728
Mailing Fax Number 6072384687
Enumeration Date 2011-10-25
Last Update Date 2019-05-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
401500 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NY STATE RNP LICENSE 5344741 01
NY NPP 401500 01

Office Location

Street Address 222 S ALBANY ST STE 1
City ITHACA
State NY
Zip Code 14850-5480

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174123897 Michelle Lee Sanito Registered Nurse 400 Lake Street, Ithaca, NY 14850 2020-10-30
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1518581701 Sameer Acharya Student in an Organized Health Care Education/Training Program Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 2020-06-03
1699399873 Anurag Aryal Student in an Organized Health Care Education/Training Program 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 2020-06-03
1932723228 Binay Kumar Kshetree Student in an Organized Health Care Education/Training Program Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 2020-06-02
1225657349 Nima Hazrati Pour Fard Student in an Organized Health Care Education/Training Program Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 2020-04-09
1326671090 Garret Hoskey Specialist/Technologist 953 Dany Road, Ithaca, NY 14850 2020-02-20
1609407709 En-ting Hsu Marriage & Family Therapist 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 2020-01-28
1306491063 Patrick Owen Mckeon Specialist/Technologist Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 2019-08-08
1538722343 Priyesh Thakurathi Student in an Organized Health Care Education/Training Program 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 2019-04-17
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962771717 Denise S. Wittlin-horvath Psychiatric Nurse Practitioner, Pllc Nurse Practitioner 108 S Albany St, Ste 1a, Ithaca, NY 14850-5446 2011-12-23
1588709257 Shirley Anne Ladd Nurse Practitioner 313 N Tioga St, Ithaca, NY 14850-4205 2007-02-21

Providers in the same taxonomy and state

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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
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Competitor

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City ITHACA
Zip Code 14850

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Dataset Information

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.

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