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

Nicole Ray Tychostup, RN

Individual provider Case Management Registered Nurse · NPI 1013776137

Nicole Ray Tychostup, RN is a Case Management Registered Nurse in Waterford, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

107 4th St
Waterford, NY 12188-2025
Phone: (228) 297-6071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perinatal Registered Nurse (primary) Taxonomy 163WP1700X · Licence 700535 (NY)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 700535 (NY)

Record details

NPI number1013776137
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address107 4th St, Waterford, NY 12188-2025