Active NPI
Marilyn Jane Lates, LPN
- Pediatric Skilled Nursing Facility
- Hornell, NY
National Provider Identifier
1205017902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- 188151-1
- Practice address
- 88 E Main St
Hornell, NY 14843-2074 - Phone
- (607) 324-5602
- NPI assigned
- Nov 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 188151-1 | NY | Primary |
Addresses
Primary practice location
88 E Main St
Hornell, NY 14843-2074
Mailing address
88 E Main St
Hornell, NY 14843-2074
Phone (607) 324-5602
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 |
|---|---|---|---|
| 188151-1 | NY | MD | Pediatric Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1205017902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 E MAIN ST",
"city": "HORNELL",
"state": "NY",
"postal_code": "148432074",
"telephone_number": "607-324-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 E MAIN ST",
"city": "HORNELL",
"state": "NY",
"postal_code": "148432074",
"telephone_number": "607-324-5602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATES",
"first_name": "MARILYN",
"middle_name": "JANE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "NY",
"license": "188151-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hornell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.