Lorie S McCreedy, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

283032 Issued in NY

Practice address

175 Fairbanks Rd
Churchville, NY 14428-9782

Phone

(585) 293-4543

Fax

(585) 293-4510

NPI assigned

Dec 20, 2011

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1184993198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 HOSMER RD",
            "city": "CHURCHVILLE",
            "state": "NY",
            "postal_code": "144289552",
            "telephone_number": "585-293-4543",
            "fax_number": "585-293-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FAIRBANKS RD",
            "city": "CHURCHVILLE",
            "state": "NY",
            "postal_code": "144289782",
            "telephone_number": "585-293-4543",
            "fax_number": "585-293-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREEDY",
        "first_name": "LORIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "283032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Churchville, NY
• Providers in Churchville, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.