Active NPI
Mary Beth Frary-Pelletieri, RN
- Registered Nurse
- Saranac Lake, NY
National Provider Identifier
1841490604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 385367-1
- Practice address
- 13 Center St
Saranac Lake, NY 12983-2408 - Phone
- (518) 891-4148
- NPI assigned
- Jul 20, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 385367-1 | NY | Primary |
Addresses
Primary practice location
13 Center St
Saranac Lake, NY 12983-2408
Mailing address
13 Center St
Saranac Lake, NY 12983-2408
Phone (518) 891-4148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02238255 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 385367-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1841490604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 CENTER ST",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129832408",
"telephone_number": "518-891-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 CENTER ST",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129832408",
"telephone_number": "518-891-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRARY-PELLETIERI",
"first_name": "MARY BETH",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "385367-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02238255",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saranac Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.