Michelle Jason
Individual provider Active NPI Licensed Practical Nurse · Sodus, NY
NPI 1659820199 · NPPES record last updated Sep 26, 2016
Key facts
- NPI
- 1659820199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 283665 (NY)
- Practice address
- 6692 Middle Rd
Suite 2100
Sodus, NY 14551-9602 - Phone
- (315) 483-1199
- Fax
- (315) 483-2451
- NPI assigned
- Sep 26, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283665 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 283665 | NY | Yes |
Addresses
Primary practice location
6692 Middle Rd
Suite 2100
Sodus, NY 14551-9602
Mailing address
14 Maiden LN
Penn Yan, NY 14527-1208
Phone (315) 531-9102
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283665 | Other | NY | LICENSE |
Other providers in Sodus, NY
- Steven Eric Gierer
- Jaclyn Rose Giorgione
- Heidi Therese Griffith
- Maria Hernandez
- Marissa Marie Holloway
- Paula Jock
- Wendy Sue Johnson
- Joseph Michael Keeney
- Kerry Lyn Kelly
- Niloal M Kijowski
All providers in Sodus, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.