Jessie Lin Wallis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1019 Northside Shopping Ctr
Oneida, NY 13421-4901

Phone

(315) 361-9131

Fax

(315) 361-4526

NPI assigned

Jan 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jessie Lin Stonecipher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1356672638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W GENESEE ST",
            "address_2": "APT 38",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371071",
            "telephone_number": "315-361-9131",
            "fax_number": "315-361-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 NORTHSIDE SHOPPING CTR",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134214901",
            "telephone_number": "315-361-9131",
            "fax_number": "315-361-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "JESSIE",
        "middle_name": "LIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "STONECIPHER",
            "middle_name": "LIN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Walgreen Co
• Walgreen Co
• Dianne Walker-Martinez
• Debra Ann Walz, WHNP, AOCNP
• Maryann Wandersee
• Amy Lynn Wardell, OD
• Trevor Warmack, MHC-LP
• Michael J Washo, CDN

• Case Manager/Care Coordinator in Oneida, NY
• Providers in Oneida, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.