Active NPI
Jill Marie Vreeland, LPN
- Licensed Practical Nurse
- King Ferry, NY
National Provider Identifier
1114232444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 294562-1
- Practice address
- 383 Mahaney Rd
King Ferry, NY 13081-0352 - Phone
- (315) 406-7850
- NPI assigned
- Aug 11, 2010
- Last updated
- Aug 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 294562-1 | NY | Primary |
Addresses
Primary practice location
383 Mahaney Rd
King Ferry, NY 13081-0352
Mailing address
383 Mahaney Rd
P.O. Box 352
King Ferry, NY 13081-0352
Phone (315) 406-7850
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 |
|---|---|---|---|
| 294562-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1114232444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 MAHANEY RD",
"address_2": "P.O. BOX 352",
"city": "KING FERRY",
"state": "NY",
"postal_code": "130810352",
"telephone_number": "315-406-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 MAHANEY RD",
"city": "KING FERRY",
"state": "NY",
"postal_code": "130810352",
"telephone_number": "315-406-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VREELAND",
"first_name": "JILL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "294562-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King Ferry, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.