Active NPI
Jared Osborne
- Nurse's Aide
- Canandaigua, NY
National Provider Identifier
1023487030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA-101566
- Practice address
- 400 Fort Hill Ave
Canandaigua, NY 14424-1159 - Phone
- (585) 394-2000
- NPI assigned
- Sep 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA-101566 | MA | Primary |
Addresses
Primary practice location
400 Fort Hill Ave
Canandaigua, NY 14424-1159
Mailing address
400 Fort Hill Ave
Canandaigua, NY 14424-1159
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA-101566 | MA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442707200000",
"number": "1023487030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FORT HILL AVE",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FORT HILL AVE",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241159",
"telephone_number": "585-394-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "JARED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-20",
"last_updated": "2015-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MA",
"license": "CNA-101566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canandaigua, NY
- Ontario Operations Assoc LLC (Ontario Center for Rehabilitation and Healthcare)
- Ontario Orthodontics, PLLC
- Todd Jason Ordan, PHARM.D.
- Carlos R Ortiz, M.D.
- Carmela A Osborne, M.S., CCC-SLP
- Matthew Osborne, M.D.
- Bernard J Oseroff, M.D.
- Thomas Louis Osinski, M.D.
- Jeffrey E Owren, PHARM.D
- Patricia Lynn Page
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.