Individual provider Active NPI

Elizabeth Mary Wheatley, LPN

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1669219861
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
346573 Issued in NY
Practice address
360 East Ave
Rochester, NY 14604-2638
Phone
(585) 325-5100
Fax
(585) 325-5154
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 346573 NY Primary

Addresses

Primary practice location

360 East Ave
Rochester, NY 14604-2638

Mailing address

101 Cor Mar LN
Rochester, NY 14616-3237
Phone (585) 615-5969

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
346573NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Huther-Doyle Memorial Institute Inc CurrentSince Aug 10, 2025 Accepting new patients
Huther Doyle Memorial Institute PastSince Aug 10, 2025 Accepting new patients

Locations

360 East Ave
Rochester, NY 14604
Phone (585) 325-5100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1669219861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COR MAR LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146163237",
            "telephone_number": "585-615-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042638",
            "telephone_number": "585-325-5100",
            "fax_number": "585-325-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "346573",
            "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 Aug 7, 2025; 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.