Active NPI
Michelle Marie Mendick, FNP
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1366726044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 336840
- Practice address
- 33 W 46TH St FL 5
New York, NY 10036-4103 - Phone
- (212) 586-7830
- NPI assigned
- Sep 29, 2011
- Sex
- Female
- Sole proprietor
- No
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 Nurse Practitioner | 363LF0000X | 336840 | NY | Primary |
Addresses
Primary practice location
33 W 46TH St FL 5
New York, NY 10036-4103
Mailing address
33 W 46TH St FL 5
New York, NY 10036-4103
Phone (212) 586-7830
Other practice location 1
52 Duane St
New York, NY 10007-1207
Phone (212) 423-3900
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366726044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 W 46TH ST FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100364103",
"telephone_number": "212-586-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 46TH ST FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100364103",
"telephone_number": "212-586-7830"
}
],
"practiceLocations": [
{
"address_1": "52 Duane St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100071207",
"country_code": "US",
"telephone_number": "212-423-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDICK",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.