Individual provider Active NPI

Jacqueline Ann Lape, RN

  • School Registered Nurse
  • St Johnsville, NY
National Provider Identifier
1447528336
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
292962-1 Issued in NY
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

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01383595MedicaidNY

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

LicenseStateTypeSpecialty
292962-1NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.