Active NPI
Jennifer Linda Pierce, R.N.
- School Registered Nurse
- Canton, NY
National Provider Identifier
1033451901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 22-507415
- Practice address
- 1255 County Route 35
Canton, NY 13617-3937 - Phone
- (315) 250-3904
- NPI assigned
- Mar 19, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 22-507415 | NY | Primary |
Addresses
Primary practice location
1255 County Route 35
Canton, NY 13617-3937
Mailing address
1255 County Route 35
Canton, NY 13617-3937
Phone (315) 250-3904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-507415 | Other | NY | REGISTERED PROFESSIONAL NURSING |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22-507415 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1033451901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 COUNTY ROUTE 35",
"city": "CANTON",
"state": "NY",
"postal_code": "136173937",
"telephone_number": "315-250-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 COUNTY ROUTE 35",
"city": "CANTON",
"state": "NY",
"postal_code": "136173937",
"telephone_number": "315-250-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "JENNIFER",
"middle_name": "LINDA",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-19",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "22-507415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PROFESSIONAL NURSING",
"identifier": "22-507415",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.