Individual provider Active NPI

Michelle Louise Daye

  • Licensed Practical Nurse
  • Watertown, NY
National Provider Identifier
1194056309
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
297871 Issued in NY
Practice address
650 State Street
Watertown, NY 13601-1251
Phone
(151) 865-1230
Fax
(315) 291-6601
NPI assigned
Jan 28, 2010
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 297871 NY Primary

Addresses

Primary practice location

650 State Street
Watertown, NY 13601-1251

Mailing address

21093 Nys Rte 12F
Watertown, NY 13601-1078
Phone (315) 658-2076

Other practice location 1

21093 Nys Rte 12F
Watertown, NY 13601-1078
Phone (315) 658-2076

Other names 1

  • Michelle Louise Ward Former name

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
297871NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1194056309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21093 NYS RTE 12F",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011078",
            "telephone_number": "315-658-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 STATE STREET",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011251",
            "telephone_number": "151-865-1230",
            "fax_number": "315-291-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21093 Nys Rte 12F",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136011078",
            "country_code": "US",
            "telephone_number": "315-658-2076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAYE",
        "first_name": "MICHELLE",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "297871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WARD",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.