Active NPI
Marilisa St Fleur, FNP
- Family Medicine Physician
- Katonah, NY
National Provider Identifier
1346884673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F344217
- Practice address
- 800 Cross River Rd
Katonah, NY 10536-3549 - Phone
- (914) 763-8151
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F344217 | NY | Primary |
Addresses
Primary practice location
800 Cross River Rd
Katonah, NY 10536-3549
Mailing address
6 Cobblestone CT
Brookfield, CT 06804-2301
Phone (845) 548-9692
Other names 1
- Marilisa St. Fleur
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | none | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| F344217 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1346884673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 COBBLESTONE CT",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042301",
"telephone_number": "845-548-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CROSS RIVER RD",
"city": "KATONAH",
"state": "NY",
"postal_code": "105363549",
"telephone_number": "914-763-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST FLEUR",
"first_name": "MARILISA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "F344217",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "none",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Cross River Rd",
"city": "Katonah",
"state": "NY",
"country_code": "US",
"postal_code": "105363549",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARILISA",
"last_name": "ST. FLEUR",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.