Individual provider Active NPI

Jennifer Marie Lazier, CNA, HHA

  • Community Health Worker
  • Gloversville, NY
National Provider Identifier
1396028403
Registry record updated Sep 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
343051571210E Issued in NY
Practice address
38 Walnut St
Gloversville, NY 12078-1738
Phone
(518) 844-8071
NPI assigned
Sep 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 343051571210E NY Primary

Addresses

Primary practice location

38 Walnut St
Gloversville, NY 12078-1738

Mailing address

38 Walnut St
Gloversville, NY 12078-1738
Phone (518) 844-8071

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

LicenseStateTypeSpecialty
343051571210ENYMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1316908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316908800000",
    "number": "1396028403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WALNUT ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781738",
            "telephone_number": "518-844-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 WALNUT ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781738",
            "telephone_number": "518-844-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZIER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CNA, HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-25",
        "last_updated": "2011-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "343051571210E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; 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.