Active NPI
Susan Renee Jones, RN
- Pediatric Registered Nurse
- Rochester, NY
National Provider Identifier
1114155777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 535836
- Practice address
- 135 Seneca Rd
Rochester, NY 14622-2042 - Phone
- (585) 355-4697
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 535836 | NY | |
| Neuroscience Registered Nurse | 163WN0800X | 535836 | NY | |
| Pediatric Registered Nurse | 163WP0200X | 535836 | NY | Primary |
Addresses
Primary practice location
135 Seneca Rd
Rochester, NY 14622-2042
Mailing address
135 Seneca Rd
Rochester, NY 14622-2042
Phone (585) 355-4697
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 535836 | NY | MD | Neuroscience Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1114155777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 SENECA RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146222042",
"telephone_number": "585-355-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 SENECA RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146222042",
"telephone_number": "585-355-4697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SUSAN",
"middle_name": "RENEE",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "NY",
"license": "535836",
"primary": false
},
{
"code": "163WN0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neuroscience",
"state": "NY",
"license": "535836",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NY",
"license": "535836",
"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 Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.