NICOLAS PAULY (NPI# 1790192508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790192508 |
| Entity Type | Individual |
| Full Name | NICOLAS PAULY |
| Credential | NPP |
| Practice Address |
6836 E Genesee St Fayetteville NY 13066-1024 |
| Practice Telephone | 3154461435 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |
| 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 |
401735 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6836 E GENESEE ST |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851383863 | Leonard Levy | Pediatrics | 6836 E Genesee St, Fayetteville, NY 13066-1024 | 2005-08-16 |
| 1942652052 | Andrea Valenti Stolz | Nurse Practitioner | 6836 E Genesee St, Fayetteville, NY 13066-1024 | 2016-07-13 |
| 1932580966 | Rachel Miller Gattuso | Nurse Practitioner | 6836 E Genesee St, Fayetteville, NY 13066-1024 | 2015-06-16 |
| 1114262375 | Christopher P. Cederquist | Social Worker | 6836 E Genesee St, Fayetteville, NY 13066-1024 | 2012-11-29 |
| 1326340126 | Patrick F Casey | Psychologist | 6836 E Genesee St, Fayetteville, NY 13066-1024 | 2010-11-30 |
| 1497981807 | Thomas J Krisher, Psyd PC | Psychologist | 6836 E Genesee St, Fayetteville, NY 13066-1024 | 2009-06-01 |
| 1932230067 | John J Osborne | Social Worker | 6836 E Genesee St, Fayetteville, NY 13066-1024 | 2007-03-08 |
| 1346397965 | Thomas John Krisher | Psychologist | 6836 E Genesee St, Fayetteville, NY 13066-1024 | 2007-01-04 |
| 1962591891 | Jian Shu | Acupuncturist | 6836 E Genesee St, Fayetteville, NY 13066-1024 | 2006-10-11 |
| 1013013184 | Aaron Gleason | Psychologist | 6836 E Genesee St, Fayetteville, NY 13066-1024 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| 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 |
|---|---|---|---|---|
| 1477189157 | Fatimat Olumayowa Olufunmilayo Agbojeyin | Nurse Practitioner | 105 Emerald Lake Ct, Fayetteville, GA 30215-7748 | 2020-03-13 |
| 1548821069 | Asic Behavioral Health, Pllc | Nurse Practitioner | 6977 Nexus Ct Ste 103, Fayetteville, NC 28304-2651 | 2019-06-25 |
| 1245794387 | Stacey Lasandra Mitchell | Nurse Practitioner | 1415 Highway 85 N Ste 310-390, Fayetteville, GA 30214-7738 | 2019-01-23 |
| 1417206491 | Casey J Scott | Nurse Practitioner | 4001 Cumberland Rd, Fayetteville, NC 28306-6703 | 2012-09-05 |
| 1972510519 | Melodie W. Stembridge | Nurse Practitioner | 1100 No. College Avenue, Vhsa, Fayetteville, AR 72703 | 2006-08-02 |
| 1053313536 | Margaret Jean Davis | Nurse Practitioner | 4276 Legend Avenue, Fayetteville, NC 28303-3497 | 2005-08-15 |
| 1811517469 | Ifeoma Nnani | Nurse Practitioner | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-04-23 |
| 1497380414 | Andrew Eisele | Nurse Practitioner | 1955 W Truckers Dr, Fayetteville, AR 72704-5637 | 2020-03-10 |
| 1417582545 | Latoya Harley-dowden | Nurse Practitioner | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-03-09 |
| 1104459114 | Stephanie Bohannon | Nurse Practitioner | 112 W Center St Ste 201, Fayetteville, AR 72701-6073 | 2020-02-18 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
Please comment or provide details below to improve the information on NICOLAS PAULY.
| 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.