Individual provider Active NPI

Douglas Allen Mealing I

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1073983912
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
303297-1 Issued in NY
Practice address
26 Fulton Ave
Down
Rochester, NY 14608-1221
Phone
(585) 730-5104
NPI assigned
Oct 5, 2015
Last updated
Oct 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 303297-1 NY Primary

Addresses

Primary practice location

26 Fulton Ave
Down
Rochester, NY 14608-1221

Mailing address

26 Fulton Ave
Down
Rochester, NY 14608-1221
Phone (585) 730-5104

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

State licenses

LicenseStateTypeSpecialty
303297-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1073983912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FULTON AVE",
            "address_2": "DOWN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081221",
            "telephone_number": "585-730-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FULTON AVE",
            "address_2": "DOWN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081221",
            "telephone_number": "585-730-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEALING",
        "first_name": "DOUGLAS",
        "middle_name": "ALLEN",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "303297-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.