Active NPI
Joan M Kovachi, RN
- Registered Nurse
- Lyons, NY
National Provider Identifier
1124163829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1378901
- Practice address
- Wayne Behavioral Health Network
1519 Nye Road
Lyons, NY 14489 - Phone
- (315) 946-5722
- Fax
- (315) 946-7066
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1378901 | NY | Primary |
Addresses
Primary practice location
Wayne Behavioral Health Network
1519 Nye Road
Lyons, NY 14489
Mailing address
2106 Kenyon Rd
Ontario, NY 14519
Phone (315) 524-3654
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 |
|---|---|---|---|
| 1378901 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124163829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 KENYON RD",
"city": "ONTARIO",
"state": "NY",
"postal_code": "14519",
"telephone_number": "315-524-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAYNE BEHAVIORAL HEALTH NETWORK",
"address_2": "1519 NYE ROAD",
"city": "LYONS",
"state": "NY",
"postal_code": "14489",
"telephone_number": "315-946-5722",
"fax_number": "315-946-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACHI",
"first_name": "JOAN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "1378901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyons, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.