Individual provider Active NPI

Janice Osserman, RN

  • Home Health Registered Nurse
  • Waterloo, NY
National Provider Identifier
1306204441
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
500900 Issued in NY
Practice address
39 N Seneca St
Waterloo, NY 13165-1006
Phone
(315) 729-0793
Fax
(315) 789-9018
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 500900 NY Primary

Addresses

Primary practice location

39 N Seneca St
Waterloo, NY 13165-1006

Mailing address

39 N Seneca St
Waterloo, NY 13165-1006
Phone (315) 729-0793

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
500900NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1306204441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N SENECA ST",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651006",
            "telephone_number": "315-729-0793",
            "fax_number": "315-789-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N SENECA ST",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651006",
            "telephone_number": "315-729-0793",
            "fax_number": "315-789-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSERMAN",
        "first_name": "JANICE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "500900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.