Active NPI
David Sergeant, REGISTERED NURSE
- Case Management Registered Nurse
- Rochester, NY
National Provider Identifier
1265020184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 692582
- Practice address
- 59 Falleson Rd
Rochester, NY 14612-5751 - Phone
- (607) 280-3811
- Fax
- (315) 364-8016
- NPI assigned
- Jan 6, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 692582 | NY | Primary |
Addresses
Primary practice location
59 Falleson Rd
Rochester, NY 14612-5751
Mailing address
PO Box 1149
Moravia, NY 13118-1149
Phone (607) 280-3811
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 |
|---|---|---|---|
| 692582 | NY | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1265020184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1149",
"city": "MORAVIA",
"state": "NY",
"postal_code": "131181149",
"telephone_number": "607-280-3811",
"fax_number": "315-364-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 FALLESON RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146125751",
"telephone_number": "607-280-3811",
"fax_number": "315-364-8016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERGEANT",
"first_name": "DAVID",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NY",
"license": "692582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.