Individual provider Active NPI

Illonda Chereese McCants

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1750678165
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
10276448 Issued in NY
Practice address
338 Bernard St
Rochester, NY 14621-4825
Phone
(347) 543-0291
Fax
(585) 266-7733
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 710581 NY
Licensed Practical Nurse 164W00000X 10276448 NY Primary

Addresses

Primary practice location

338 Bernard St
Rochester, NY 14621-4825

Mailing address

338 Bernard St
Rochester, NY 14621-4825
Phone (347) 543-0291

Other names 1

  • Mrs. Illonda Chereese McCants Professional name

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
710581NYMDGeneral Practice Registered Nurse
10276448NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1750678165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 BERNARD ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146214825",
            "telephone_number": "347-543-0291",
            "fax_number": "585-266-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 BERNARD ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146214825",
            "telephone_number": "347-543-0291",
            "fax_number": "585-266-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANTS",
        "first_name": "ILLONDA",
        "middle_name": "CHEREESE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "710581",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10276448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILLONDA",
            "last_name": "MCCANTS",
            "middle_name": "CHEREESE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Apr 25, 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.

Verify at the official NPI Registry.