Individual provider Active NPI

Jennifer Lee Fox Hand, FNP

  • Family Nurse Practitioner
  • Hornell, NY
National Provider Identifier
1174192983
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347641 Issued in NY
Practice address
7309 Seneca Rd N
Suite 112
Hornell, NY 14843
Phone
(607) 590-2424
Fax
(607) 590-2428
NPI assigned
Jun 24, 2021
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F347641 NY Primary

Addresses

Primary practice location

7309 Seneca Rd N
Suite 112
Hornell, NY 14843

Mailing address

300 West Ave
Brockport, NY 14420-1118
Phone (585) 637-3905

Other names 1

  • Jennifer Lee Fox Tallman Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812003852 NY Practitioner - Nurse Practitioner 6406250497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7309 Seneca Rd N
Suite 112
Hornell, NY 14843-9691
Phone (607) 590-2424

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F347641NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Orchard Community Health Center Inc CurrentSince Jul 19, 2021 Accepting new patients
Oak Orchard Community Health Center, Inc. CurrentSince Jul 19, 2021 Accepting new patients
Oak Orchard Community Health Center Inc. Current Accepting new patients

Locations

300 West Ave
Brockport, NY 14420
Phone (585) 637-3905

7309 Seneca Rd N
Ste 112
Hornell, NY 14843
Phone (607) 324-0314

Interoperability endpoints

  • Direct secure messaging: jennifer.tallman@oochc.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1174192983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201118",
            "telephone_number": "585-637-3905",
            "fax_number": "585-637-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 SENECA RD N",
            "address_2": "SUITE 112",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "14843",
            "telephone_number": "607-590-2424",
            "fax_number": "607-590-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAND",
        "first_name": "JENNIFER",
        "middle_name": "LEE FOX",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2023-10-05",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TALLMAN",
            "middle_name": "LEE FOX",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hornell, NY

Sources for this page

Verify at the official NPI Registry.