Active NPI
Jennifer Lynne Gorman-Fecco
- Hospice Registered Nurse
- Cortland, NY
National Provider Identifier
1194098442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice Registered Nurse
- License
- 454672
- Practice address
- 11 Kennedy Pkwy
Cortland, NY 13045-1409 - Phone
- (607) 753-9105
- NPI assigned
- Feb 17, 2012
- 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 |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | 454672 | NY | Primary |
Addresses
Primary practice location
11 Kennedy Pkwy
Cortland, NY 13045-1409
Mailing address
586 Babcock Rd
Tully, NY 13159-3246
Phone (315) 391-4785
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 |
|---|---|---|---|
| 454672 | NY | MD | Hospice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1194098442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 BABCOCK RD",
"city": "TULLY",
"state": "NY",
"postal_code": "131593246",
"telephone_number": "315-391-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 KENNEDY PKWY",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451409",
"telephone_number": "607-753-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN-FECCO",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-17",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "NY",
"license": "454672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.