Active NPI
Jeannette Linkroum, LPN
- Licensed Practical Nurse
- Binghamton, NY
National Provider Identifier
1053622456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 281136-1
- Practice address
- 1249 Upper Front St
Binghamton, NY 13905-1125 - Phone
- (607) 771-8791
- Fax
- (607) 722-8049
- NPI assigned
- Jun 30, 2010
- Last updated
- Jun 30, 2010
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 281136-1 | NY | Primary |
Addresses
Primary practice location
1249 Upper Front St
Binghamton, NY 13905-1125
Mailing address
1249 Upper Front St
Binghamton, NY 13905
Phone (607) 771-8791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1032333 | Medicaid | NY |
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 |
|---|---|---|---|
| 281136-1 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QC - Medi New York, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1053622456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1249 UPPER FRONT ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-771-8791",
"fax_number": "607-722-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 UPPER FRONT ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139051125",
"telephone_number": "607-771-8791",
"fax_number": "607-722-8049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINKROUM",
"first_name": "JEANNETTE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "281136-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1032333",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.