Individual provider Active NPI

Jennifer Bozza, FNP

  • Family Nurse Practitioner
  • Sherman, NY
National Provider Identifier
1205988243
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335462 Issued in NY
Practice address
126 Cornish St
Sherman, NY 14781-9791
Phone
(716) 761-2067
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 335462 NY Primary

Addresses

Primary practice location

126 Cornish St
Sherman, NY 14781-9791

Mailing address

9558 Donation Rd
Waterford, PA 16441-4264
Phone (814) 602-0190

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
335462NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edge Medical Services Past Accepting new patients
Community Birth Group Past Accepting new patients
Private Healthcare Facilities Past Accepting new patients
National Birth Centers, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1205988243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9558 DONATION RD",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164414264",
            "telephone_number": "814-602-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CORNISH ST",
            "city": "SHERMAN",
            "state": "NY",
            "postal_code": "147819791",
            "telephone_number": "716-761-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZA",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-06-13",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.