Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Nichole Kieltyka, ATC

Individual provider Registered Nurse · NPI 1205112687

Miss. Nichole Kieltyka, ATC is a Registered Nurse in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1468 Madison Ave
New York, NY 10029-6508
Phone: (212) 241-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F312859 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 724365 (NY)

Record details

NPI number1205112687
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedOctober 28, 2011
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

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