Individual provider Active NPI

Jennifer Lynne Gorman-Fecco

  • Hospice Registered Nurse
  • Cortland, NY
National Provider Identifier
1194098442
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
454672 Issued in NY
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

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
454672NYMDHospice 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.

Verify at the official NPI Registry.