NICOLE LEROUGE


Address: 4 Camp Ave, Walton, NY 13856-1404
Phone: 6078656642

NICOLE LEROUGE (NPI# 1912569070) 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) 1912569070
Entity Type Individual
Full Name NICOLE LEROUGE
Credential RN
Practice Address 4 Camp Ave
Walton
NY 13856-1404
Mailing Address 1663 E 17th St
Brooklyn
NY 11229-1259
Practice Telephone 6078656642
Mailing Telephone 7189980200
Enumeration Date 2019-06-28
Last Update Date 2019-06-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 424739 NY Nursing Service Providers
N 163WS0200X Registered Nurse
Specialization: School
424739 NY Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4 Camp Ave, Walton, NY 138561404 6078656642

Office Location

Street Address 4 CAMP AVE
City WALTON
State NY
Zip Code 13856-1404

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164973962 Leeann Otto Registered Nurse 88 Griswold St, Walton, NY 13856 2016-10-18
1134518582 Crystal Burr Licensed Practical Nurse 1773 Dryden Rd, Walton, NY 13856 2015-01-22
1043573348 Dawn F. Northrup Registered Nurse 47-49 Stockton Ave., Walton, NY 13856 2012-06-21
1659657120 Gladys A Frazier Registered Nurse 42 North Street, Walton, Ny,13856, NY 13856 2011-10-28
1073763918 William S Korwan Dentist 83 Liberty St, Walton, NY 13856 2008-09-29
1609039866 Diane Zieba-virone Pharmacist 215 Delaware Street, Walton, NY 13856 2008-07-08
1326133752 Edward Arthur Wilson Social Worker Delaware County Mental Health Clinic, One Hospital Road, Walton, NY 13856 2006-10-03
1104930593 Michael C Free Physician Assistant 1 Titus Place, Walton, NY 13856 2006-08-19
1568445583 Julie Beth Vernold Nurse Practitioner 130 North St., Walton, NY 13856 2005-11-23
1184621062 Cynthia M Cantwell Nurse Practitioner 2 Titus Place, Walton, NY 13856 2005-07-07
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215283411 Paul Joseph Duprey Registered Nurse 1988 Walton Mountain Rd, Walton, NY 13856-2420 2012-07-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821699596 Calissa Saint Paul Registered Nurse 77 Gibson Blvd, Valley Stream, NY 11581-3375 2020-11-08
1386245199 Alisha Tiffany Howard Registered Nurse 19 Lakeside Dr, Centerport, NY 11721-1513 2020-11-06
1114528858 Melissa Marie Leppard Registered Nurse 5092 Jennifer Dr, Syracuse, NY 13212-1009 2020-11-06
1992306831 Barbara Sam Registered Nurse 2889 Baisley Ave Apt 2fl, Bronx, NY 10461-6118 2020-11-06
1134720105 Marie Degraff Registered Nurse 8 Forest Ave, Glen Cove, NY 11542-2122 2020-11-05
1144821158 Aeneas Kwame Osei Registered Nurse 28 Horseshoe Way, Middletown, NY 10940-2334 2020-11-05
1487255543 Samantha Lee Manzo Registered Nurse 1450 Deep Hole Dr, Mattituck, NY 11952-2610 2020-11-05
1295336261 Janet Esmas Registered Nurse 200 Haven Ave Apt 5r, New York, NY 10033-5308 2020-11-05
1376144246 Jessica Quaranto Registered Nurse 4728 Transit Rd Apt B5, Depew, NY 14043-4955 2020-11-05
1871194001 Anya Khaimova Registered Nurse 17656 80th Rd, Jamaica, NY 11432-1409 2020-11-04
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Competitor

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City WALTON
Zip Code 13856

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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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