Active NPI
Michelle Tiffany Letendre, APRN
- Primary Care Nurse Practitioner
- Worcester, MA
National Provider Identifier
1770736159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 205174
- Practice address
- 70 James St Ste 253
Worcester, MA 01603-1038 - Phone
- (508) 578-2010
- Fax
- (508) 578-2012
- NPI assigned
- Oct 29, 2008
- Last updated
- Feb 28, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 205174 | MA | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 002769 | CT | |
| Primary Care Nurse Practitioner | 363LP2300X | 205174 | MA | Primary |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 205174 | MA |
Addresses
Primary practice location
70 James St Ste 253
Worcester, MA 01603-1038
Mailing address
70 James St Ste 253
Worcester, MA 01603-1038
Phone (508) 578-2010
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002769 | CT | MD | Physician Assistant |
| 002769 | NY | MD | Medical Physician Assistant |
| 205174 | MA | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- michelle.letendre.2@1694.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Latching Little Ones PLLC
- Pediatrics Physician
- Worcester, MA
- NPI 1871397992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1770736159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 JAMES ST STE 253",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016031038",
"telephone_number": "508-578-2010",
"fax_number": "508-578-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 JAMES ST STE 253",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016031038",
"telephone_number": "508-578-2010",
"fax_number": "508-578-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETENDRE",
"first_name": "MICHELLE",
"middle_name": "TIFFANY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-29",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MA",
"license": "205174",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "CT",
"license": "002769",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "205174",
"primary": true
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "MA",
"license": "205174",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.