Individual provider Active NPI

Jacqueline D Calero, REGISTERED NURSE

  • Registered Nurse
  • New Rochelle, NY
National Provider Identifier
1245633882
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
683932 Issued in NY
Practice address
59A Locust Ave Apt 3I
None
New Rochelle, NY 10801-7378
Phone
(914) 652-3626
NPI assigned
Sep 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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 683932 NY Primary

Addresses

Primary practice location

59A Locust Ave Apt 3I
None
New Rochelle, NY 10801-7378

Mailing address

59A Locust Ave Apt 3I
None
New Rochelle, NY 10801-7378
Phone (914) 652-3626

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
683932NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1245633882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59A LOCUST AVE APT 3I",
            "address_2": "NONE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017378",
            "telephone_number": "914-652-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59A LOCUST AVE APT 3I",
            "address_2": "NONE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017378",
            "telephone_number": "914-652-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALERO",
        "first_name": "JACQUELINE",
        "middle_name": "D",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "683932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.