Individual provider Active NPI

Jacqueline Kathryn Budinger, RN

  • Registered Nurse
  • Ontario Center, NY
National Provider Identifier
1225563067
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
650587 Issued in NY
Practice address
1784 Ridge Road
Ontario Center, NY 14520-0155
Phone
(315) 524-1138
Fax
(315) 524-1149
NPI assigned
May 1, 2017
Last updated
May 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 650587 NY Primary

Addresses

Primary practice location

1784 Ridge Road
Ontario Center, NY 14520-0155

Mailing address

6200 Ontario Center Road
Ontario Center, NY 14520-0155
Phone (315) 524-1138

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
650587NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1225563067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 ONTARIO CENTER ROAD",
            "city": "ONTARIO CENTER",
            "state": "NY",
            "postal_code": "145200155",
            "telephone_number": "315-524-1138",
            "fax_number": "315-524-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 RIDGE ROAD",
            "city": "ONTARIO CENTER",
            "state": "NY",
            "postal_code": "145200155",
            "telephone_number": "315-524-1138",
            "fax_number": "315-524-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDINGER",
        "first_name": "JACQUELINE",
        "middle_name": "KATHRYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "650587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario Center, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.