MISTY LOVELY
NPI 1104295708
Licensed Practical Nurse in Ogdensburg, NY

Active since September 24, 2015
1003 PARK ST, OGDENSBURG, NY 13669(315) 713-9090(315) 713-9330 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Misty Lovely NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISTY LOVELY (NPI 1104295708) is an individual licensed practical nurse in Ogdensburg, New York, licensed in New York (311492) and active in the NPI registry since September 2015. She maintains a secondary practice location in Potsdam.

NPPES Registry Identity

NPI1104295708
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISTY LOVELY
Location Address1003 PARK STOgdensburg, NY 13669-3911
Mailing Address56 Market StPotsdam, NY 13676-1747 · (315) 265-4065 · Fax (315) 265-0012
Fax(315) 713-9330
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
Last NPPES UpdateJune 26, 2025
NPPES CertifiedJune 26, 2025
NPI 1104295708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 311492
Definition
A licensed practical nurse 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.
1003 PARK ST, Ogdensburg, NY 13669

Secondary Practice Location 1

Location 156 Market StPotsdam, NY 13676-1747 · Phone (315) 265-4065 · Fax (315) 265-0012

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1003 PARK ST
OGDENSBURG, NY 13669
Case Manager/Care Coordinator
1003 PARK ST
OGDENSBURG, NY 13669
Registered Nurse
1003 PARK ST
OGDENSBURG, NY 13669
Licensed Practical Nurse
1003 PARK ST
OGDENSBURG, NY 13669
Peer Specialist
1003 PARK ST
OGDENSBURG, NY 13669
Case Manager/Care Coordinator
1003 PARK ST
OGDENSBURG, NY 13669
Registered Nurse
1003 PARK ST
OGDENSBURG, NY 13669
Social Worker (Clinical)
1003 PARK ST
OGDENSBURG, NY 13669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Misty Lovely's NPI number?

The NPI number for Misty Lovely is 1104295708. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Misty Lovely located?

Misty Lovely practices at 1003 Park St, Ogdensburg, NY 13669. The listed phone number is (315) 713-9090.

What is Misty Lovely's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Misty Lovely was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.