Active NPI
Lettetia McNally, NP
- Psychiatric/Mental Health Clinical Nurse Specialist
- Canandaigua, NY
National Provider Identifier
1114948932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- MFFVCG8
- Practice address
- 350 Parrish St
Canandaigua, NY 14424-1731 - Phone
- (585) 396-6000
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 334938 | NY | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | MFFVCG8 | NY | Primary |
Addresses
Primary practice location
350 Parrish St
Canandaigua, NY 14424-1731
Mailing address
1816 Erie Blvd East
Syracuse, NY 13210
Phone (315) 214-0390
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFFVCG8 | NY | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Frederick Ferris Thompson Hospital | Past | Accepting new patients | |
| Anil K. Verma, MD | Past | Accepting new patients | |
| The Frederick Ferris Thompson Hospital | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1396820825
-
- General Acute Care Hospital
- Canandaigua, NY
- NPI 1194776351
-
- Community/Retail Pharmacy
- Victor, NY
- NPI 1831914274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1114948932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 ERIE BLVD EAST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-214-0390",
"fax_number": "315-214-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PARRISH ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241731",
"telephone_number": "585-396-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "LETTETIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "334938",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "NY",
"license": "MFFVCG8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.