Michelle Lynn Feary, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

269449-1 Issued in NY

Practice address

6620 E Bethany Leroy Rd
Stafford, NY 14143-9565

Phone

(585) 768-4646

NPI assigned

Mar 5, 2010

Last updated

Mar 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1184947087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7862 CLINTON STREET RD LOT 11",
            "city": "BERGEN",
            "state": "NY",
            "postal_code": "144169416",
            "telephone_number": "585-746-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 E BETHANY LEROY RD",
            "city": "STAFFORD",
            "state": "NY",
            "postal_code": "141439565",
            "telephone_number": "585-768-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARY",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "269449-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Jo Mistretta, LPN
• Stefanie R Roetzer, MS.ED.
• Aubrey Ann Wilday
• Christina M Wille, LMT

• Licensed Practical Nurse in Stafford, NY
• Providers in Stafford, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.