IndividualActive
Nicole Innace
NPI 1578974630 · Specialist · Holbrook, NY
Nicole Innace is a Specialist provider in Holbrook, NY (NPI 1578974630).
Provider details
- NPI number
- 1578974630
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 353185091 (NY)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
45 Timber Ridge Dr
Holbrook, NY 11741-4142
Phone: (631) 472-8162
Street-level locationGet directions
Mailing address
32 Kenwood Dr
Bohemia, NY 11716-1314
Registry dates
- Enumerated
- 2014-05-12
- Last updated
- 2015-04-10
Frequently asked questions
- What is Nicole Innace's NPI number?
- Nicole Innace's National Provider Identifier (NPI) is 1578974630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Innace's specialty?
- Nicole Innace is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Nicole Innace located?
- Nicole Innace's practice location on file with NPPES is 45 Timber Ridge Dr, Holbrook, NY 11741-4142.
- What is Nicole Innace's phone number?
- The practice phone number listed in the NPPES registry for Nicole Innace is (631) 472-8162.
- Is Nicole Innace's NPI active?
- Yes — Nicole Innace's NPI (1578974630) is active in the NPPES registry as of the last update on 2015-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.