Individual provider Active NPI

Jaimi Lynn Sulli, LPN

  • Community Health Worker
  • Rochester, NY
National Provider Identifier
1285902825
Registry record updated Dec 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
281131 Issued in NY
Practice address
797 N Winton Rd
Rochester, NY 14609-7725
Phone
(585) 340-6497
NPI assigned
Dec 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 281131 NY Primary

Addresses

Primary practice location

797 N Winton Rd
Rochester, NY 14609-7725

Mailing address

797 N Winton Rd
Rochester, NY 14609-7725
Phone (585) 340-6497

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
281131NYMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1323475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323475200000",
    "number": "1285902825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 N WINTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146097725",
            "telephone_number": "585-340-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 N WINTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146097725",
            "telephone_number": "585-340-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLI",
        "first_name": "JAIMI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-10",
        "last_updated": "2011-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "281131",
            "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 Dec 10, 2011; 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.