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Active NPI 1215257829 Individual Practitioner Female Practitioner

Judith Ellena Grosso Sickles , CPNP-PC, RN

Nurse Practitioner - Pediatrics • Poughkeepsie, NY

Professional Overview & Biography Verified Profile Summary

Judith Sickles, CPNP-PC, RN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Poughkeepsie, NY. Practice services are available at 301 MANCHESTER RD STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

301 Manchester Rd Ste 105

Poughkeepsie, NY 126032895

Telephone 8454521700
Associated Practice Facility / Clinic
🏢 The Childrens Medical Group Facility NPI 1841224508

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Poughkeepsie, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Poughkeepsie, NY (1823 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-20
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License NY F383023-01

Definition to come...

Registered Nurse - Home Health

NUCC Taxonomy Code: 163WH0200X

State License NY 616136-1

Definition to come...

Registered Nurse - Pediatrics

NUCC Taxonomy Code: 163WP0200X

State License NY 616136-1

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License NY 616136

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Pediatrics, Critical Care

NUCC Taxonomy Code: 363LP0222X

State License NY F383023-01

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013978949

Doctor of Medicine (M.D.)

NPI 1033172333

Doctor of Medicine (M.D.)

NPI 1033435631

Doctor of Osteopathic Medicine (D.O.)

NPI 1043255359

Doctor of Medicine (M.D.)

NPI 1053542043

Doctor of Medicine (M.D.)

NPI 1114592433

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2023

Registered Nurse (License #616136-1 in NY)

📍
Updated Practice Location July 12, 2022

Registered at 301 MANCHESTER RD STE 105, POUGHKEEPSIE, NY 126032895 (Tel: 8454521700)

👤
Provider Name / Credentials Updated July 12, 2022

Recorded as JUDITH SICKLES, CPNP-PC, RN

📍
Updated Business Mailing Address September 23, 2020

Registered at 70 KILBAR ROAD, HUDSON, NY 12534 (Tel: 5182219122)

NPI Profile Active February 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2012

Registered at 12 METRO PARK RD, ALBANY, NY 122051139 (Tel: 5184370152)

📍
Updated Business Mailing Address February 16, 2012

Registered at 41 FOUR MILE POINT ROAD, ATHENS, NY 12015 (Tel: 5182219122)

👤
Provider Name / Credentials Updated February 16, 2012

Recorded as JUDITH SICKLES, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2012

Registered Nurse (License #616136 in NY)

🟢
Initial NPI Registration & Enumeration June 04, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215257829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2010
Last Update: March 20, 2023
Sole Proprietor: No

Mailing Address

70 Kilbar Road

Hudson, NY 12534

Phone: 5182219122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.