Active NPI
Michelle Denice Fleishman, NURSE LPN
- Licensed Practical Nurse
- Whitesboro, NY
National Provider Identifier
1700072832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 284225-1
- Practice address
- 36 Beechnut Ter
Whitesboro, NY 13492-1704 - Phone
- (315) 736-6015
- Fax
- (315) 768-9606
- NPI assigned
- Sep 21, 2007
- Last updated
- Sep 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 284225-1 | NY | Primary |
Addresses
Primary practice location
36 Beechnut Ter
Whitesboro, NY 13492-1704
Mailing address
835 County Highway 24
Richfield Springs, NY 13439-4719
Phone (315) 858-2435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02902445 | Other | NY | MEDICAID PROVIDER NUMBER |
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 |
|---|---|---|---|
| 284225-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1700072832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 COUNTY HIGHWAY 24",
"city": "RICHFIELD SPRINGS",
"state": "NY",
"postal_code": "134394719",
"telephone_number": "315-858-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BEECHNUT TER",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134921704",
"telephone_number": "315-736-6015",
"fax_number": "315-768-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISHMAN",
"first_name": "MICHELLE",
"middle_name": "DENICE",
"name_prefix": "Ms.",
"credential": "NURSE LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "284225-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER NUMBER",
"identifier": "02902445",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitesboro, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.