Active NPI
Mary E White-Ferris
- Diabetes Educator Registered Nurse
- Elizabethtown, NY
National Provider Identifier
1669941431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 387765
- Practice address
- 75 Park Street
Elizabethtown, NY 12932-2300 - Phone
- (518) 873-6377
- Fax
- (518) 873-3097
- NPI assigned
- Nov 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 387765 | NY | Primary |
Addresses
Primary practice location
75 Park Street
Elizabethtown, NY 12932-2300
Mailing address
75 Park Street
Elizabethtown, NY 12932-2300
Phone (518) 873-6377
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
| License | State | Type | Specialty |
|---|---|---|---|
| 387765 | NY | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1669941431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PARK STREET",
"city": "ELIZABETHTOWN",
"state": "NY",
"postal_code": "129322300",
"telephone_number": "518-873-6377",
"fax_number": "518-873-3097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PARK STREET",
"city": "ELIZABETHTOWN",
"state": "NY",
"postal_code": "129322300",
"telephone_number": "518-873-6377",
"fax_number": "518-873-3097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE-FERRIS",
"first_name": "MARY",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-21",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "387765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.