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NICHELLE K DEWITT RN
NPI 1407367220
Clinical Nurse Specialist - Long-Term Care in Liberty, NY

Active since October 19, 2017
256 SUNSET LAKE RD, LIBERTY, NY 12754(845) 513-2012(845) 513-2177 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nichelle K Dewitt Rn NPPES

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

NICHELLE K DEWITT RN (NPI 1407367220) is an individual long-term care provider in Liberty, New York, licensed in New York (672377-1) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1407367220
Entity TypeIndividualFemale
Primary Taxonomy364SL0600X
Provider Legal NameNICHELLE K DEWITTCredential: RN
Location Address256 SUNSET LAKE RDLiberty, NY 12754-2847
Mailing Address256 Sunset Lake RdLiberty, NY 12754-2847 · (845) 513-2012 · Fax (845) 513-2177
Phone(845) 513-2012
Fax(845) 513-2177
Sole ProprietorNo
Enumeration DateOctober 19, 2017
✔ NPI 1407367220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Long-Term CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SL0600X
License✔ Licensed in NY · 672377-1
256 SUNSET LAKE RD, Liberty, NY 12754
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN SOUTHERTON RN
Registered Nurse (Administrator)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 513-2012
SENIOR CONNECTIONS PSYCHOLOGICAL SERVICES OF NEW YORK, PC
Psychologist (Clinical)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (832) 448-2800
JENIFER H LAYMON RN
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 513-2012
MRS. DONNA MARIE FUNCHEON RN
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 513-2012
KIMBERLY T NEVES RN
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 513-2012
WENDY COLE-DEAN RN
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 513-2012
MRS. GAIL LUCILLE NISTICO PHYSICAL THERAPY ASS
Physical Therapy Assistant
256 SUNSET LAKE RD, SULLIVAN COUNTY ADULT CARE CENTER
LIBERTY, NY 12754
Sullivan County (845) 292-5910
MARY CASE
Physical Therapy Assistant
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 292-8640

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 Nichelle Dewitt's NPI number?

The NPI number for Nichelle Dewitt is 1407367220. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Nichelle Dewitt located?

Nichelle Dewitt practices at 256 Sunset Lake Rd, Liberty, NY 12754. The listed phone number is (845) 513-2012.

What is Nichelle Dewitt's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Long-Term Care, with taxonomy code 364SL0600X.

When was this NPI record last updated?

The NPPES record for Nichelle Dewitt was last updated on October 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.