Active NPI
Nancy J Pearson, NP
- Nurse Practitioner
- Rochester, NY
National Provider Identifier
1053423152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F303408
- Practice address
- 300 Meridian Centre Blvd
Suite 320
Rochester, NY 14618-3981 - Phone
- (585) 322-2279
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 Practitioner | 363L00000X | F303408 | NY | Primary |
Addresses
Primary practice location
300 Meridian Centre Blvd
Suite 320
Rochester, NY 14618-3981
Mailing address
300 Meridian Centre Blvd
Suite 320
Rochester, NY 14618-3981
Phone (585) 322-2279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02743199 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F303408 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1053423152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MERIDIAN CENTRE BLVD",
"address_2": "SUITE 320",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183981",
"telephone_number": "585-322-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MERIDIAN CENTRE BLVD",
"address_2": "SUITE 320",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183981",
"telephone_number": "585-322-2279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "NANCY",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F303408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02743199",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.