Mary Ann Wellington, RN

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

22595813 Issued in NY

Practice address

2301 Western Ave
Guilderland, NY 12084-9749

Phone

(518) 218-7310

Fax

(518) 218-7315

NPI assigned

Oct 3, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Nysarc Inc Fulton County Chapter

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Johnstown, NY
  • NPI 1245309434
  NPD (past)

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1801148796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SHADY LN",
            "city": "COEYMANS HOLLOW",
            "state": "NY",
            "postal_code": "120463002",
            "telephone_number": "518-265-6106",
            "fax_number": "518-436-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 WESTERN AVE",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849749",
            "telephone_number": "518-218-7310",
            "fax_number": "518-218-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLINGTON",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "22595813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Veselov, PHARMD
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• Yinna Wang
• Kelly L Weir Keohan, LMHC
• Jill M Welch
• Wheelers Accessible Vans Inc.
• Deeann Lea Whittet, LCSW-R
• Jenifer Wood, NCC
• Casey Wright
• Evelyn A Zahn

• Developmentally Disabled Services Day Training Agency in Guilderland, NY
• Providers in Guilderland, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.