MEDICARE: NICOLE GATHERS RRT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225CX0006X	Orientation and Mobility Training Rehabilitation Counselor	001112	NY
2	2278H0200X	Home Health Certified Respiratory Therapist	001112	NY
3	2278P1005X	Pulmonary Rehabilitation Certified Respiratory Therapist	001112	NY
4	227900000X	Registered Respiratory Therapist	001112	NY
5	2279C0205X	Critical Care Registered Respiratory Therapist	001112	NY
6	2279E0002X	Emergency Care Registered Respiratory Therapist	001112	NY
7	2279E1000X	Educational Registered Respiratory Therapist	001112	NY
8	2279G0305X	Geriatric Care Registered Respiratory Therapist	001112	NY
9	2279G1100X	General Care Registered Respiratory Therapist	001112	NY
10	2279P1004X	Pulmonary Diagnostics Registered Respiratory Therapist	001112	NY
11	2279P1006X	Pulmonary Function Technologist Registered Respiratory Therapist	001112	NY
12	2279P3800X	Palliative/Hospice Registered Respiratory Therapist	001112	NY
13	2279P3900X	Neonatal/Pediatric Registered Respiratory Therapist	001112	NY
14	2279P4000X	Patient Transport Registered Respiratory Therapist	001112	NY
15	2279S1500X	SNF/Subacute Care Registered Respiratory Therapist	001112	NY

General Provider Information

NPI Number	:	1316157910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE GATHERS RRT

Provider Business Mailing Address
First Line	:	40 ARGYLE RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2947
Country	:	US
Telephone Number	:	718-462-9019
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 CLARKSON AVE
Second Line	:	KINGS COUNTY HOSPITAL CENTER
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2097
Country	:	US
Telephone Number	:	718-245-4526
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	09/11/2025

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