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MRS. DESTINEE CREELEY
NPI 1427921428
Student in an Organized Health Care Education/Training Program in Waterloo, NY

Active since September 25, 2025
31 THURBER DR, WATERLOO, NY 13165(315) 539-1980 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Destinee Creeley NPPES

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

MRS. DESTINEE CREELEY (NPI 1427921428) is an individual student in an organized health care education/training program in Waterloo, New York and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1427921428
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. DESTINEE CREELEY
Location Address31 THURBER DRWaterloo, NY 13165-1665
Mailing Address128 W Bayard StSeneca Falls, NY 13148-1709
Phone(315) 539-1980
Sole ProprietorYes
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1427921428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
31 THURBER DR, Waterloo, NY 13165
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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.

KAREN ALICE BRIGHAM
Case Manager/Care Coordinator
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1922
SANDRA J DONLON-LANDSCHOOT RN
Registered Nurse
31 THURBER DR, SUITE 1
WATERLOO, NY 13165
Seneca County (315) 539-1929
EUGENE STOREY JR.
Peer Specialist
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MS. MARY P GRACE LCSW, CASAC, CPP
Social Worker (Clinical)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
DAVID P LEE LMSW
Social Worker
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
STACEY LYNN FEGLEY RN, BSN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1929
CYNTHIA EILEEN MECKLEY RN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MR. RAYMOND RICHARD PETTIS MS, LMHC
Counselor (Mental Health)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980

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 Destinee Creeley's NPI number?

The NPI number for Destinee Creeley is 1427921428. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Destinee Creeley located?

Destinee Creeley practices at 31 Thurber Dr, Waterloo, NY 13165. The listed phone number is (315) 539-1980.

What is Destinee Creeley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Destinee Creeley was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.