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MRS. KATHY JO MISTRETTA LPN
NPI 1982927430
Licensed Practical Nurse in Stafford, NY

Active since March 11, 2010
6620 EAST BETHANY LEROY RD, STAFFORD, NY 14143(585) 768-4646 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kathy Jo Mistretta Lpn NPPES

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

MRS. KATHY JO MISTRETTA LPN (NPI 1982927430) is an individual licensed practical nurse in Stafford, New York, licensed in New York (253381-1) and active in the NPI registry since March 2010. She maintains a secondary practice location in Leicester.

NPPES Registry Identity

NPI1982927430
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KATHY JO MISTRETTACredential: LPN
Location Address6620 EAST BETHANY LEROY RDStafford, NY 14143-9565
Mailing Address4390 York RdLeicester, NY 14481-9706 · (585) 481-0904
Phone(585) 768-4646
Sole ProprietorYes
Enumeration DateMarch 11, 2010
Last NPPES UpdateJanuary 15, 2019
✔ NPI 1982927430 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 · 253381-1
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.
6620 EAST BETHANY LEROY RD, Stafford, NY 14143
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Secondary Practice Location 1

Location 14390 York RdLeicester, NY 14481-9706 · Phone (585) 481-0904

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 Kathy Mistretta's NPI number?

The NPI number for Kathy Mistretta is 1982927430. It was assigned to this individual provider in the NPPES registry on March 11, 2010.

Where is Kathy Mistretta located?

Kathy Mistretta practices at 6620 East Bethany Leroy Rd, Stafford, NY 14143. The listed phone number is (585) 768-4646.

What is Kathy Mistretta'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 Kathy Mistretta was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.