Jessica Lynne Kolpack, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

896073 Issued in NY

Practice address

2380 William St Apt 2
Buffalo, NY 14206-1974

Phone

(716) 572-9783

NPI assigned

Jul 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1346921772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HARDING RD APT B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217185",
            "telephone_number": "716-280-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 WILLIAM ST APT 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142061974",
            "telephone_number": "716-572-9783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Harding Rd Apt B",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142217185",
            "country_code": "US",
            "telephone_number": "716-280-1310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Castlewood Dr",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142272613",
            "country_code": "US",
            "telephone_number": "716-572-9783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLPACK",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "896073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Byrne Kolega
• Sergei Kolesnikov, MD
• Katherine Koller, PHARM.D.
• Devin William Kolmetzky
• Diane Marie Kolotylo-Farish
• Yelena Kolysh, PT
• Joseph George Komenda
• Katriel Komet, B.S.
• Morteza Komeylian, M.D.
• Isabel K Komornicki, NP

• Registered Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.