Individual provider Active NPI

Mary Frances McKenna Nolan

  • Student Health Clinic/Center
  • New Rochelle, NY
National Provider Identifier
1114102159
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
F331969-1 Issued in NY
Practice address
715 North Ave
Iona Wellness Center
New Rochelle, NY 10801-1830
Phone
(914) 633-2548
Fax
(914) 633-2103
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X F331969-1 NY Primary

Addresses

Primary practice location

715 North Ave
Iona Wellness Center
New Rochelle, NY 10801-1830

Mailing address

19 Woodview Ave
Cornwall on Hudson, NY 12520-1439
Phone (845) 674-7836

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
F331969-1NYMDStudent Health Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1114102159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WOODVIEW AVE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201439",
            "telephone_number": "845-674-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 NORTH AVE",
            "address_2": "IONA WELLNESS CENTER",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011830",
            "telephone_number": "914-633-2548",
            "fax_number": "914-633-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA NOLAN",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NY",
            "license": "F331969-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.