Individual provider Active NPI

Erica K Jess, LPN

  • Licensed Practical Nurse
  • Patchogue, NY
National Provider Identifier
1053284802
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
344030 Issued in NY
Practice address
3 Lake St Apt 6
Patchogue, NY 11772-2590
Phone
(678) 308-3684
NPI assigned
Sep 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 344030 NY Primary

Addresses

Primary practice location

3 Lake St Apt 6
Patchogue, NY 11772-2590

Mailing address

3 Lake St Apt 6
Patchogue, NY 11772-2590

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL alexscrubz@gmail.com

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

NPI Registry JSON

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

{
    "created_epoch": "1758931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1053284802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAKE ST APT 6",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LAKE ST APT 6",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722590",
            "telephone_number": "678-308-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESS",
        "first_name": "ERICA",
        "middle_name": "K",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "344030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alexscrubz@gmail.com",
            "affiliation": "N",
            "address_1": "3 Lake St Apt 6",
            "city": "Patchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117722590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; 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.