Individual provider Active NPI

Michael Thomas Hood, LPN NURSE

  • Licensed Practical Nurse
  • Baldwinsville, NY
National Provider Identifier
1912345224
Registry record updated Jun 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
307922-1 Issued in NY
Practice address
351 Village Blvd N
Baldwinsville, NY 13027-3015
Phone
(315) 491-7717
NPI assigned
Jun 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 307922-1 NY Primary

Addresses

Primary practice location

351 Village Blvd N
Baldwinsville, NY 13027-3015

Mailing address

351 Village Blvd N
Baldwinsville, NY 13027-3015
Phone (315) 491-7717

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

State licenses

LicenseStateTypeSpecialty
307922-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370649600000",
    "number": "1912345224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 VILLAGE BLVD N",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130273015",
            "telephone_number": "315-491-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 VILLAGE BLVD N",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130273015",
            "telephone_number": "315-491-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LPN NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-08",
        "last_updated": "2013-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "307922-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2013; 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.