Mary L Meehan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F333826-1 Issued in NY

Practice address

1183 Monroe Ave
Rochester, NY 14620-1662

Phone

(585) 256-7802

Fax

(585) 256-7793

NPI assigned

Jul 14, 2005

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 names 1

• Mary L Debruin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1992704720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201662",
            "telephone_number": "585-256-7802",
            "fax_number": "585-256-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201662",
            "telephone_number": "585-256-7802",
            "fax_number": "585-256-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333826-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DEBRUIN",
            "middle_name": "L",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Layla Medlock
• Susan M Medoff, MSW
• Louis Howard Medved, M.D.
• Larry Medwetsky, PH.D.
• Rachel E Meegan-Iacchetta, D.C.
• Meghan Elizabeth Meehan, MS ED
• Vicki J Meek, LMSW
• Elizabeth Meeker, PSY.D.
• Jeffrey Scott Meeker, PHARM. D.
• Cratrina Meeks, LMSW

• Family Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Nurse Practitioner in New York

• 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.