Individual provider Active NPI

Brenda Harper

  • Licensed Practical Nurse
  • Jamestown, NY
National Provider Identifier
1306460415
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
264067 Issued in NY
Practice address
407 W 4TH St Apt a
Jamestown, NY 14701-4874
Phone
(716) 708-8396
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 264067 NY Primary

Addresses

Primary practice location

407 W 4TH St Apt a
Jamestown, NY 14701-4874

Mailing address

407 W 4TH St Apt a
Jamestown, NY 14701-4874
Phone (716) 708-8396

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL JAMESTOWN
CONNECT URL JAMESTOWN

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

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1306460415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W 4TH ST APT A",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014874",
            "telephone_number": "716-708-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W 4TH ST APT A",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014874",
            "telephone_number": "716-708-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "264067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JAMESTOWN",
            "affiliation": "N",
            "address_1": "407 W 4th St Apt A",
            "city": "Jamestown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147014874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JAMESTOWN",
            "affiliation": "N",
            "address_1": "407 W 4th St Apt A",
            "city": "Jamestown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147014874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.