Individual provider Active NPI

Misty Jane Lacross, R.N.

  • School Registered Nurse
  • Hudson Falls, NY
National Provider Identifier
1811443575
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
672157 Issued in NY
Practice address
80 East Labarge Street
Hudson Falls, NY 12839
Phone
(151) 747-2121
Fax
(518) 746-9033
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 672157 NY Primary

Addresses

Primary practice location

80 East Labarge Street
Hudson Falls, NY 12839

Mailing address

80 East Labarge Street
Hudson Falls, NY 12839
Phone (151) 747-2121

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
672157NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1811443575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EAST LABARGE STREET",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "12839",
            "telephone_number": "151-747-2121",
            "fax_number": "518-746-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EAST LABARGE STREET",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "12839",
            "telephone_number": "151-747-2121",
            "fax_number": "518-746-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROSS",
        "first_name": "MISTY",
        "middle_name": "JANE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "672157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.