Individual provider Active NPI

Bria S Jiles, LPN

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1063063048
Registry record updated Sep 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
336129 Issued in NY
Practice address
576 Wegman Rd
Rochester, NY 14624-1434
Phone
(585) 435-6130
NPI assigned
Sep 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 336129 NY Primary

Addresses

Primary practice location

576 Wegman Rd
Rochester, NY 14624-1434

Mailing address

576 Wegman Rd
Rochester, NY 14624-1434
Phone (585) 435-6130

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

LicenseStateTypeSpecialty
336129NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1063063048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 WEGMAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241434",
            "telephone_number": "585-435-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 WEGMAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241434",
            "telephone_number": "585-435-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILES",
        "first_name": "BRIA",
        "middle_name": "S",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-22",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "336129",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 22, 2019; 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.