Marie-Michele Fortillus, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F420771 Issued in NY

Practice address

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Phone

(516) 572-6131

Fax

(516) 572-5793

NPI assigned

Oct 10, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

• Marie-Michele Rho Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2007.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1295923738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-6131",
            "fax_number": "516-572-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-6131",
            "fax_number": "516-572-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTILLUS",
        "first_name": "MARIE-MICHELE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "502964",
            "primary": false
        },
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "NY",
            "license": "F390054",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WOMEN'S HEALTH NP LICENSE",
            "identifier": "F420771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE-MICHELE",
            "last_name": "RHO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yaned Forero, RN
• Nicholas Forlenza, PH.D
• Ana D Forman, FNP
• Brendan Forte, PT,DPT
• Nadine Forte, LPN
• Konstantinos Ioannis Fortounas, MD
• Kalliopi Fountas, MD
• Heber Franca Buss
• Adam Francikiewicz
• Michael Francis, PA

• All providers in East Meadow, NY
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.