Organization Active NPI

Melinda Clancy

  • Pediatric Skilled Nursing Facility
  • Rochester, NY
National Provider Identifier
1609284058
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
296159 Issued in NY
Legal business name
MELINDA CLANCY
Practice address
1620 Norton St
Rochester, NY 14609-2122
Phone
(585) 512-9839
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Melinda Clancy
Title
Licensed Practical Nurse
Phone
(585) 512-9839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 296159 NY Primary

Addresses

Primary practice location

1620 Norton St
Rochester, NY 14609-2122

Mailing address

1620 Norton St
Rochester, NY 14609-2122

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1609284058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 NORTON ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146092122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 NORTON ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146092122",
            "telephone_number": "585-512-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA CLANCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "585-512-9839"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "296159",
            "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 29, 2014; 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.