Meredyth Rae McMichael, DC, MSACN

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

70-012824 Issued in NY

Practice address

640 Liberty St
Penn Yan, NY 14527-1035

Phone

(315) 694-9167

NPI assigned

Jan 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1881051357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3134 SKYLINE DR",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145278910",
            "telephone_number": "315-694-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 LIBERTY ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271035",
            "telephone_number": "315-694-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICHAEL",
        "first_name": "MEREDYTH",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DC, MSACN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70-012824",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mattison, RN, BSN
• Jo'El Joy McAfee, RN
• James McDonald, DPT
• Jennifer Elizabeth McFetridge, MS ED.
• Michael John McIntyre, D.C.
• Ruth H. McNamara, LMHC
• Dayna Lee Meyers, RN
• Kevin Middleton
• Deborah Ann Minor, RN
• Paul E Mitchell, CNP

• Chiropractor in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.