Jodi Anne Brundige, LPN
Individual provider Active NPI Licensed Practical Nurse · Johnsonville, NY
NPI 1194918342 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1194918342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 267328 (NY)
- Practice address
- 84 Quaker Rd
Johnsonville, NY 12094-3022 - Phone
- (518) 705-9811
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267328 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 267328 | NY | Yes |
Addresses
Primary practice location
84 Quaker Rd
Johnsonville, NY 12094-3022
Mailing address
7 John St Apt 1
Hoosick Falls, NY 12090-1633
Phone (838) 839-1344
Other names
- Jodi Anne Schultz
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | 84Quaker | Direct |
Other providers in Johnsonville, NY
- Amanda Joy Akin
- Jane Marie Govola
- Sean C Lipinski
- Meghan Elizabeth Luskin
- Pittstown Volunteer Emergency
All providers in Johnsonville, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.