Sydney Johnstone Jakes, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F383548-01 Issued in NY

Practice address

534 Trimmer Road
Spencerport, NY 14559

Phone

(585) 491-0288

NPI assigned

Oct 6, 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

Nurse Practitioner

State licenses

Practice roles

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.

• Genesis Pediatrics, LLC

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1306943527

  Single Specialty

  NPD (past)
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1417738436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 TRIMMER ROAD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "14559",
            "telephone_number": "585-491-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 TRIMMER ROAD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "14559",
            "telephone_number": "585-491-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKES",
        "first_name": "SYDNEY",
        "middle_name": "JOHNSTONE",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F383548-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Hunter
• Icare Ultrasound Imaging, LLC
• Kevin Infantino, D.C.
• Sarah Infantino
• Kathryn A Jacobs, M.S., OTR/L
• Jamie L Dimarco LCSW PLLC
• Lauren Jarvis, PHARM D
• Jeff L Teibel DPM Foot Doctor
• Jerry J Cellura DDS LLP Gerald J Cellura DMD LLP
• Daniel G. Jividen, D.C.

• Pediatric Nurse Practitioner in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.