Active NPI
Patricia Dillon, MH/PNP
- Psychiatric/Mental Health Nurse Practitioner
- Rochester, NY
National Provider Identifier
1366526113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 400679
- Practice address
- 1111 Elmwood Ave
Rochester, NY 14620-3005 - Phone
- (585) 241-1469
- Fax
- (585) 241-1872
- NPI assigned
- Oct 25, 2006
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 400679 | NY | Primary |
Addresses
Primary practice location
1111 Elmwood Ave
Rochester, NY 14620-3005
Mailing address
667 Moul Rd
Hilton, NY 14468-9508
Phone (585) 392-5039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1366526113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 MOUL RD",
"city": "HILTON",
"state": "NY",
"postal_code": "144689508",
"telephone_number": "585-392-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146203005",
"telephone_number": "585-241-1469",
"fax_number": "585-241-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "MH/PNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "400679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.