KAREN M PELLICORE FNP-BC NPI 1366498511

NPI Information

  • NPI: 1366498511
  • Provider Name: KAREN M PELLICORE, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2816 PLEASANT AVE
    LAKE VIEW, NY
    ZIP 14085
  • Phone: (716) 646-5500

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NPI Details

Karen M Pellicore, FNP-BC is a family nurse practitioner in Lake View, NY. Karen M Pellicore, FNP-BC NPI is 1366498511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2816 PLEASANT AVE
LAKE VIEW, NY
ZIP 14085-624
Phone: (716) 646-5500
Fax: (716) 646-5502

The enumeration date for this NPI number is 5/26/2006 and was last updated on 5/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine1010027182VERMONTNo
2363LF0000XNurse PractitionerFamily5005182NORTH CAROLINANo
3363LF0000XNurse PractitionerFamilyF335760-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP5167MEDICARE ID-TYPE UNSPECIFIEDVERMONT
2VV2088AMEDICARE PINNORTH CAROLINA
31012039MEDICAIDVERMONT
4Q56573MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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