Individual provider Active NPI

Jennifer L Stoeckel, RN

  • General Practice Registered Nurse
  • Niagara Falls, NY
National Provider Identifier
1003056979
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
565582-1 Issued in NY
Practice address
1750 Pine Ave
Niagara Falls, NY 14301-2232
Phone
(716) 505-1060
NPI assigned
Mar 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 565582-1 NY Primary

Addresses

Primary practice location

1750 Pine Ave
Niagara Falls, NY 14301-2232

Mailing address

3020 Bailey Ave
Buffalo, NY 14215-2814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
565582-1NYMDGeneral Practice Registered Nurse

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/78f4cdd4-55a7-4d47-b25a-4d044d550506/

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1003056979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 PINE AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143012232",
            "telephone_number": "716-505-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOECKEL",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "565582-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.