Michaela Ann Louise De la Cruz, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

202902-1 Issued in NY

Practice address

117 Laurel Ave
Liverpool, NY 13088-6639

Phone

(315) 474-7125

NPI assigned

Dec 21, 2006

Last updated

Apr 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1972667814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LAUREL AVE",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886639",
            "telephone_number": "315-474-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LAUREL AVE",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886639",
            "telephone_number": "315-474-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "MICHAELA",
        "middle_name": "ANN LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "202902-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01730496",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LIC.NO.",
            "identifier": "202902-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Daughton, R.PH.
• Amy Davis
• Colleen M Davis, LPN
• Mary C Daye, M.D.
• Ruth A Daz, RPH
• Belinda Deboer
• Miranda L Deering
• Kylee Deese, MS, RN, NE-BC
• Mary Gay Defuria, NP
• Alexis Marie Degennaro

• Licensed Practical Nurse in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.