Active NPI
Mary M Hyde, RN
- Registered Nurse
- Fairport, NY
National Provider Identifier
1093034613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 492549-1
- Practice address
- 4 Chantilly LN
Fairport, NY 14450-4620 - Phone
- (585) 223-3003
- NPI assigned
- May 21, 2010
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 492549-1 | NY | Primary |
Addresses
Primary practice location
4 Chantilly LN
Fairport, NY 14450-4620
Mailing address
4 Chantilly LN
Fairport, NY 14450-4620
Phone (585) 223-3003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 492549-1 | Other | NY | RN |
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 |
|---|---|---|---|
| 492549-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274400000000",
"number": "1093034613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CHANTILLY LN",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144504620",
"telephone_number": "585-223-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CHANTILLY LN",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144504620",
"telephone_number": "585-223-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "MARY",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-21",
"last_updated": "2010-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "492549-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "492549-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.