Mishelle K Trescott, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN.509411 Issued in OH

Practice address

314 E State St
Ithaca, NY 14850-4318

Phone

(740) 509-2498

NPI assigned

Jul 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mishelle K Kemp Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cedar Ridge Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Cambridge, OH
  • NPI 1063779460
  NPD
• Cedar Ridge Behavioral Health Solutions

  • Community/Behavioral Health Agency
  • Cambridge, OH
  • NPI 1447769666
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1548814494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 STEUBENVILLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252301",
            "telephone_number": "855-692-7247",
            "fax_number": "855-692-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504318",
            "telephone_number": "740-509-2498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Steubenville Ave",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437252301",
            "country_code": "US",
            "telephone_number": "855-692-7247",
            "fax_number": "855-692-7247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRESCOTT",
        "first_name": "MISHELLE",
        "middle_name": "K",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.124620.MEDS-IV",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OH",
            "license": "RN.509411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "398CC380-D10E-47FF-9623-2AEE4557876B",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "314 E State St",
            "city": "Ithaca",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148504318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MISHELLE",
            "last_name": "KEMP",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samara Touchton, FNP
• Susan Edith Travis, PH.D.
• Kristin Treat, RN
• Tree of Life Health and Wellness
• Jacqueline Noel Treml Gottlieb, LMSW
• Antoinette Tristan, LMHC
• Samantha Anne Troetti I
• Michaela Alvena Troisi, DPT, ATC
• Zachary Trojnar
• Michael Troy

• Lactation Consultant (Registered Nurse) in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Lactation Consultant (Registered Nurse) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.