Michelle Ly

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP95000678 Issued in CA

Practice address

701 E El Camino Real
Mountain View, CA 94040-2833

Phone

(650) 934-7956

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

No

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.

• University Hospital at Stony Brook

  • General Acute Care Hospital
  • Stony Brook, NY
  • NPI 1972523348
  NPD
• Sutter East Bay Medical Foundation

  • Family Medicine Physician
  • Orinda, CA
  • NPI 1871538769
  NPD (past)
• Long Island Jewish Medical Center

  • Children's Hospital
  • New Hyde Park, NY
  • NPI 1174530349
  NPD (past)
• North Shore University Hospital

  • Psychiatric Hospital Unit
  • Syosset, NY
  • NPI 1295742468
  NPD (past)
• Plainview Hospital

  • General Acute Care Hospital
  • Plainview, NY
  • NPI 1083621130
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michelle.ly@direct.stonybrookmedicine.edu

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2024.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1285075804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E EL CAMINO REAL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402833",
            "telephone_number": "650-934-7956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N Belle Mead Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117333483",
            "country_code": "US",
            "telephone_number": "631-444-4630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Montego Dr.",
            "address_purpose": "LOCATION",
            "city": "Hercules",
            "state": "CA",
            "postal_code": "94547",
            "country_code": "US",
            "telephone_number": "510-685-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "648293",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP95000678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lutz
• Chau Rebecca Luu
• Christina Han Luu
• Luwen Health Center
• Luxottica of America Inc.
• Elizabeth Lye
• Martha Dill Lynch, MFT
• Lyndsey Garbi M.D. PC
• Cindy Lyon, L.AC.
• Keziah Lyu, PSYD

• All providers in Mountain View, CA
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.