Jacqueline Rose Carpenter, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

339342 Issued in NY

Practice address

425 Robinson St
Binghamton, NY 13904-1775

Phone

(607) 797-0680

NPI assigned

Aug 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Rose Glen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1174354625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041775",
            "telephone_number": "607-797-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041775",
            "telephone_number": "607-797-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JACQUELINE",
        "middle_name": "ROSE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "339342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "GLEN",
            "middle_name": "ROSE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Caprari
• Care Compass Collaborative, Inc.
• Elizabeth Ann Carey, NP
• Tricia L Carman, LCSW
• Cassandra Lynn Carnevale, AGNP
• Jordan Carpenter, LMSW
• Aaron Maurice Carr, RN
• Nathan Patrick Carr, PA
• Catherine Mary Carswell, FNP
• Domenica Devincentis Carter, TSHH

• Licensed Practical Nurse in Binghamton, NY
• Providers in Binghamton, 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 Aug 8, 2024; 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.