NPIMap

Organization Active NPI

Chemung County Early Intervention Program

  • Case Management Agency
  • Elmira, NY
National Provider Identifier
1457571515
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CHEMUNG COUNTY EARLY INTERVENTION PROGRAM
Practice address
425 Pennsylvania Ave
Elmira, NY 14904-1762
Phone
(607) 737-5569
Fax
(607) 737-5480
NPI assigned
Apr 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Mrs. Anne L Jernigan, M.S. CCC-SLP
Title
Early Intervention Official
Phone
(607) 737-5568

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

425 Pennsylvania Ave
Elmira, NY 14904-1762

Mailing address

425 Pennsylvania Ave
Elmira, NY 14904-1762
Phone (607) 737-5569

Other identifiers 1

IdentifierTypeStateIssuer
01760530MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
County of Chemung5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

425 Pennsylvania Ave
Elmira, NY 14904
Phone (607) 737-5568

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1457571515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PENNSYLVANIA AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149041762",
            "telephone_number": "607-737-5569",
            "fax_number": "607-737-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PENNSYLVANIA AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149041762",
            "telephone_number": "607-737-5569",
            "fax_number": "607-737-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMUNG COUNTY EARLY INTERVENTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EARLY INTERVENTION OFFICIAL",
        "authorized_official_telephone_number": "607-737-5568",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01760530",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.