Individual provider Active NPI

Michele Talerico, FNP

  • Nurse Practitioner
  • Owego, NY
National Provider Identifier
1063583847
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F330374 Issued in NY
Practice address
500 5TH Ave
Owego, NY 13827-1620
Phone
(607) 687-3241
Fax
(607) 687-4725
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F330374 NY Primary

Addresses

Primary practice location

500 5TH Ave
Owego, NY 13827-1620

Mailing address

500 5TH Ave
Owego, NY 13827-1620
Phone (607) 687-3241

Other names 1

  • Michele Stewart-Donato Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060222000699 NY Practitioner - Nurse Practitioner 8224044664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F330374NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Nurse Practitioner CurrentSince Nov 14, 2015 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Nov 14, 2015 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

39 E Main St
Hancock, NY 13783
Phone (607) 637-5700

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063583847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 5TH AVE",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138271620",
            "telephone_number": "607-687-3241",
            "fax_number": "607-687-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 5TH AVE",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138271620",
            "telephone_number": "607-687-3241",
            "fax_number": "607-687-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALERICO",
        "first_name": "MICHELE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F330374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "STEWART-DONATO",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owego, NY

Sources for this page

Verify at the official NPI Registry.