Jennifer Peters Dauphinee, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

282775-1 Issued in NY

Practice address

79 N Clinton Ave
Rochester, NY 14604-1407

Phone

(585) 546-7220

Fax

(585) 546-2607

NPI assigned

Sep 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Charities of the Diocese of Rochester

  • Community/Behavioral Health Agency
  • Rochester, NY
  • NPI 1790853844
  NPD

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1164073888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 N CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146041407",
            "telephone_number": "585-546-7220",
            "fax_number": "585-546-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 N CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146041407",
            "telephone_number": "585-546-7220",
            "fax_number": "585-546-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUPHINEE",
        "first_name": "JENNIFER",
        "middle_name": "PETERS",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "282775-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rochester",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "79 N Clinton Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146041407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rochester",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "79 N Clinton Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146041407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bonita Daugherty, LPN
• Destiny M Daugherty, LPN
• Mary Jo Daughton, SPEECH PATHOLOGIST
• Portia A Daughtry, RN
• Dianna Daunton, RN
• Carol Dauvergne, LCSW
• Karen G Davenport
• Mark S. Davenport, M.D.
• Michael Patrick Davenport
• William Davern, PA

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.