| Nicholas Knibbs, APRN FNP-C | |
|
130 North St, Walton, NY 13856-1218 | |
| (607) 865-6541 | |
| (607) 865-9164 |
| Full Name | Nicholas Knibbs |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 130 North St, Walton, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043857311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 346201 (New York) | Primary |
| 163W00000X | Registered Nurse | 737541 (New York) | Secondary |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Knibbs, APRN FNP-C 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 865-6541 | Nicholas Knibbs, APRN FNP-C 130 North St, Walton, NY 13856-1218 Ph: (607) 865-6541 |
Stephanie Marie Dionne, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 North St, Walton, NY 13856 Phone: 607-865-6541 | |
Mrs. Jennifer L Grigoli, PMHNP, DNS Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 243 Delaware St, Walton, NY 13856 Phone: 604-832-5888 | |
Patrick James Fitzpatrick, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400 | |
Cynthia M Cantwell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Titus Place, Walton, NY 13856 Phone: 607-865-2400 Fax: 607-865-7305 | |
Shasta Treadway, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400 Fax: 607-865-7305 | |
Emily Seymour, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400 |