Michelle Farid

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

306071-1 Issued in NY

Practice address

163 Longfellow Dr
Mastic Beach, NY 11951-3009

Phone

(631) 236-8119

NPI assigned

Jun 27, 2011

Last updated

Jun 27, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1396031530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 LONGFELLOW DR.",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119514103",
            "telephone_number": "631-236-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 LONGFELLOW DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119513009",
            "telephone_number": "631-236-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARID",
        "first_name": "MICHELLE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "306071-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele J Ebert, MSED
• Edward Balzer, Nurse Practitioner in Psychiatry, P.C.
• Carissa Ellis, R.N.
• Elizabeth Elshazly
• Felicia Joy Endara, R.N., LPN
• Stacey A Farmer, M.S., OTR/L
• Nicole Ficarrotta, RN
• Jessica Fischer, LPN
• Donna Lee Fleming
• Brianna Rose Fonti, M.A.

• Licensed Practical Nurse in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.