Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982927430 Individual Practitioner Female Practitioner

Kathy Jo Mistretta , LPN

Licensed Practical Nurse • Stafford, NY

Professional Overview & Biography Verified Profile Summary

Kathy Mistretta, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Stafford, NY. Practice services are available at 6620 EAST BETHANY LEROY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6620 East Bethany Leroy Rd

Stafford, NY 141439565

Telephone 5857684646

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Stafford, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Stafford, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 253381-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Practice Locations

4390 York Rd

Leicester, NY 144819706

Phone: 5854810904

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Aubrey Wilday

Licensed Practical Nurse

NPI 1053634428
Michelle Feary , LPN

Licensed Practical Nurse

NPI 1184947087

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address January 15, 2019

Registered at 4390 YORK RD, LEICESTER, NY 144819706 (Tel: 5854810904)

NPI Profile Active March 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2010

Registered at 6620 EAST BETHANY LEROY RD, STAFFORD, NY 141439565 (Tel: 5857684646)

📍
Updated Business Mailing Address March 11, 2010

Registered at 4390 RT 36, LEICESTER, NY 144819601 (Tel: 5853829561)

👤
Provider Name / Credentials Updated March 11, 2010

Recorded as KATHY MISTRETTA, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2010

Licensed Practical Nurse (License #253381-1 in NY)

🟢
Initial NPI Registration & Enumeration March 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982927430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2010
Last Update: January 15, 2019
Sole Proprietor: Yes

Mailing Address

4390 York Rd

Leicester, NY 144819706

Phone: 5854810904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.