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CHERYL MARIE NICKERSON G.N.P.
NPI 1205919578
Nurse Practitioner - Gerontology in Bath, NY

Active since October 23, 2006
7009 RUMSEY RD EXTENSION, BATH, NY 14810(607) 661-9114(607) 664-1020 Get Directions Write a Review

NPPES record last updated: April 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cheryl Marie Nickerson G.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERYL MARIE NICKERSON G.N.P. (NPI 1205919578) is an individual gerontology provider in Bath, New York, licensed in New York (340488) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1205919578
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCHERYL MARIE NICKERSONCredential: G.N.P.
Location Address7009 RUMSEY RD EXTENSIONBath, NY 14810
Mailing Address150 Prattsburg Rd.Naples, NY 14512 · (585) 943-1538
Phone(607) 661-9114
Fax(607) 664-1020
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateApril 27, 2019
✔ NPI 1205919578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in NY · 340488✔ Licensed in NY · F340488-1
7009 RUMSEY RD EXTENSION, Bath, NY 14810
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Other Names 1

Former Name (1)Cheryl Marie Fonaine Gnp-bc

Other Identifiers 1

Medicaid02829629NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheryl Nickerson's NPI number?

The NPI number for Cheryl Nickerson is 1205919578. It was assigned to this individual provider in the NPPES registry on October 23, 2006. The provider is also known as Cheryl Marie Fonaine Gnp-Bc.

Where is Cheryl Nickerson located?

Cheryl Nickerson practices at 7009 Rumsey Rd Extension, Bath, NY 14810. The listed phone number is (607) 661-9114.

What is Cheryl Nickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Cheryl Nickerson was last updated on April 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.