Active NPI
Jill Rice, APRN PMHNP AND FNP
- Psychiatric/Mental Health Nurse Practitioner
- Hamburg, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F404957
- Practice address
- 3750 Heatherwood Dr Apt L5
Hamburg, NY 14075-2272 - Phone
- (694) 693-3044
- NPI assigned
- Aug 28, 2006
- Last updated
- Sep 24, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F351891 | NY | |
| Family Nurse Practitioner | 363LF0000X | 676803 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F404957 | NY | Primary |
Addresses
Primary practice location
3750 Heatherwood Dr Apt L5
Hamburg, NY 14075-2272
Mailing address
PO Box 68049
Newark, NJ 07101-8085
Phone (469) 693-3044
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 676803 | Other | TX | LICENSE |
| F351891 | Other | NY | NY FNP |
| F404957 | Other | NY | NY PMHNP |
Other names 1
- Jill Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (888) 515-3834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F351891 | NY | MD | Family Nurse Practitioner |
| F404957 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Che Senior Psychological Services, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Knapp Street Psychiatry, PC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
100 Park Ave
Fl 16
New York, NY 10017
Phone (212) 433-2384
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
Psychiatric/Mental Health
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1093823361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68049",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071018085",
"telephone_number": "469-693-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 HEATHERWOOD DR APT L5",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140752272",
"telephone_number": "694-693-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "JILL",
"credential": "APRN PMHNP AND FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F351891",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "676803",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F404957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "676803",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY FNP",
"identifier": "F351891",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY PMHNP",
"identifier": "F404957",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "JOHNSON",
"credential": "APRN PMHNP FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.