Active NPI
Jacqueline Ann Lape, RN
- School Registered Nurse
- St Johnsville, NY
National Provider Identifier
1447528336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 292962-1
- Practice address
- 61 Monroe St
St Johnsville, NY 13452-1125 - Phone
- (518) 568-2013
- Fax
- (518) 568-3016
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 292962-1 | NY | Primary |
Addresses
Primary practice location
61 Monroe St
St Johnsville, NY 13452-1125
Mailing address
61 Monroe St
St Johnsville, NY 13452-1125
Phone (518) 568-2013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01383595 | Medicaid | NY |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292962-1 | NY | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Johnsville Central School | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- St Johnsville, NY
- NPI 1821142548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1447528336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MONROE ST",
"city": "ST JOHNSVILLE",
"state": "NY",
"postal_code": "134521125",
"telephone_number": "518-568-2013",
"fax_number": "518-568-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MONROE ST",
"city": "ST JOHNSVILLE",
"state": "NY",
"postal_code": "134521125",
"telephone_number": "518-568-2013",
"fax_number": "518-568-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPE",
"first_name": "JACQUELINE",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "292962-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01383595",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Johnsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.