Individual provider Active NPI

Jessica Jean Khalid, NP

  • Family Nurse Practitioner
  • Oneida, NY
National Provider Identifier
1417454349
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136234 Issued in TX
Practice address
357 Genesee St
Oneida, NY 13421-2658
Phone
(315) 361-4651
Fax
(315) 361-2821
NPI assigned
Apr 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136234 TX Primary

Addresses

Primary practice location

357 Genesee St
Oneida, NY 13421-2658

Mailing address

357 Genesee St
Oneida, NY 13421-2658
Phone (315) 363-4651

Other identifiers 1

IdentifierTypeStateIssuer
06646386MedicaidNY

Other names 1

  • Jessica Jean Lamphere Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813000802 NY Practitioner - Nurse Practitioner 5496019739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 Seneca St
Oneida, NY 13421-2668

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136234TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Medical Practice, PC CurrentSince Sep 1, 2021 Accepting new patients
Oneida Medical Practice, PC CurrentSince Sep 1, 2021 Accepting new patients
College St Orthopedics Past Accepting new patients

Locations

9562 State Route 13
Camden, NY 13316
Phone (315) 245-1388

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377

357 Genesee St
Ste 2
Oneida, NY 13421
Phone (315) 363-2123

600 Seneca St
Oneida, NY 13421
Phone (315) 361-7472

Interoperability endpoints

  • Direct secure messaging: jkhalid@ompohc.medentdirect.com
  • Direct secure messaging: jlampherefnp40230@direct.utmb.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1417454349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212658",
            "telephone_number": "315-363-4651",
            "fax_number": "315-363-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212658",
            "telephone_number": "315-361-4651",
            "fax_number": "315-361-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06646386",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LAMPHERE",
            "middle_name": "JEAN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.