NPIMap

Organization Active NPI

Michele M Doyle

  • Family Nurse Practitioner
  • Port Jervis, NY
National Provider Identifier
1902344492
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337610 Issued in NY
Legal business name
MICHELE M DOYLE
Practice address
32 Canal St
Port Jervis, NY 12771-1638
Phone
(845) 856-6671
Fax
(845) 858-9903
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Michele M Doyle, FNP-BC
Title
Owner
Phone
(845) 856-6671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F337610 NY Primary

Addresses

Primary practice location

32 Canal St
Port Jervis, NY 12771-1638

Mailing address

32 Canal St
Port Jervis, NY 12771-1638
Phone (845) 856-6671

Other identifiers 1

IdentifierTypeStateIssuer
03499112MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1902344492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CANAL ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711638",
            "telephone_number": "845-856-6671",
            "fax_number": "845-858-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CANAL ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711638",
            "telephone_number": "845-856-6671",
            "fax_number": "845-858-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE M DOYLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-856-6671",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03499112",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.