Active NPI
Marie Kettlie Fleury
- School Registered Nurse
- West Nyack, NY
National Provider Identifier
1992544233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 598978
- Practice address
- 65 Parrott Rd
West Nyack, NY 10994-1025 - Phone
- (845) 770-5005
- Fax
- (845) 624-5699
- NPI assigned
- May 24, 2024
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 598978 | NY | Primary |
Addresses
Primary practice location
65 Parrott Rd
West Nyack, NY 10994-1025
Mailing address
48 Lackawanna TRL
Montebello, NY 10901-4920
Phone (845) 248-4831
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
| License | State | Type | Specialty |
|---|---|---|---|
| 598978 | NY | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockland Boces | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- W Nyack, NY
- NPI 1720389687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1992544233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 LACKAWANNA TRL",
"city": "MONTEBELLO",
"state": "NY",
"postal_code": "109014920",
"telephone_number": "845-248-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PARROTT RD",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941025",
"telephone_number": "845-770-5005",
"fax_number": "845-624-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEURY",
"first_name": "MARIE",
"middle_name": "KETTLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "598978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.