Active NPI
Jacqueline Louise Pierce, TEACHER MS.ED
- Specialist
- Jamaica, NY
National Provider Identifier
1316209042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 600097
- Practice address
- 11475 178TH PL
Jamaica, NY 11434-1409 - Phone
- (718) 298-9630
- Fax
- (718) 298-9632
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 600097 | NY | Primary |
Addresses
Primary practice location
11475 178TH PL
Jamaica, NY 11434-1409
Mailing address
114-75 178TH Place
Suite 1R
Jamaica, NY 11434-1409
Phone (917) 699-6298
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 |
|---|---|---|---|
| 600097 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1316209042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114-75 178TH PLACE",
"address_2": "SUITE 1R",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114341409",
"telephone_number": "917-699-6298",
"fax_number": "718-298-9632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11475 178TH PL",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114341409",
"telephone_number": "718-298-9630",
"fax_number": "718-298-9632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "JACQUELINE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "TEACHER MS.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "600097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.