Active NPI
Mary Ellen Meade, R.N.
- Community Health Registered Nurse
- Ithaca, NY
National Provider Identifier
1003049735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 323442-1
- Practice address
- 401 Harris B.Dates Drive
Ithaca, NY 14850 - Phone
- (607) 274-6698
- Fax
- (607) 274-6648
- NPI assigned
- Aug 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 323442-1 | NY | Primary |
Addresses
Primary practice location
401 Harris B.Dates Drive
Ithaca, NY 14850
Mailing address
401 Harris B.Dates Drive.
Ithaca, NY 14850
Phone (607) 274-6698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323442-1 | NY | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1003049735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HARRIS B.DATES DRIVE.",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-274-6698",
"fax_number": "607-274-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HARRIS B.DATES DRIVE",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-274-6698",
"fax_number": "607-274-6648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "MARY ELLEN",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "323442-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.