Individual provider Active NPI

Jenny Verceles, LPN, RN

  • Registered Nurse
  • Valley Stream, NY
National Provider Identifier
1447668132
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
619870 Issued in NY
Practice address
520 W Valley Stream Blvd
Valley Stream, NY 11580-5127
Phone
(516) 754-0568
NPI assigned
Jul 26, 2014
Last updated
Jul 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 619870 NY Primary
Licensed Practical Nurse 164W00000X 295321 NY

Addresses

Primary practice location

520 W Valley Stream Blvd
Valley Stream, NY 11580-5127

Mailing address

520 W Valley Stream Blvd
Valley Stream, NY 11580-5127
Phone (516) 754-0568

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
619870NYMDRegistered Nurse
295321NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1447668132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W VALLEY STREAM BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805127",
            "telephone_number": "516-754-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W VALLEY STREAM BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805127",
            "telephone_number": "516-754-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCELES",
        "first_name": "JENNY",
        "credential": "LPN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "619870",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "295321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.