Nicole Theresa York, LPN
Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric in Lake Mary, FL. Individual provider (NPI-1).
NPI number1285584615
StatusActive
Last updated in NPPESFeb 3, 2026
Details
- NPI
- 1285584615
- Entity type
- Individual (NPI-1)
- Name
- Nicole Theresa York
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2026
- Certification date
- Feb 3, 2026
- Last updated
- Feb 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SP0813X | Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric | 2041945 | KY | Yes |
Practice location
525 Technology Park Ste 109Lake Mary, FL 32746-7107
Phone 407-347-4331
Mailing address
546 Joe Brown RdHodgenville, KY 42748-9348
Phone 407-347-4331
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