Active NPI
June Trimble Wagner
- Licensed Practical Nurse
- Geneva, NY
National Provider Identifier
1477874303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 047530-1
- Practice address
- 590 Pre Emption Rd
Sibleys Nursing Personnel Services, Inc.
Geneva, NY 14456 - Phone
- (315) 781-0863
- NPI assigned
- Jun 15, 2010
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 047530-1 | NY | Primary |
Addresses
Primary practice location
590 Pre Emption Rd
Sibleys Nursing Personnel Services, Inc.
Geneva, NY 14456
Mailing address
590 Pre Emption Rd
Sibleys Nursing Personnel Services, Inc.
Geneva, NY 14456
Phone (315) 781-0863
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047530-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1477874303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 PRE EMPTION RD",
"address_2": "SIBLEYS NURSING PERSONNEL SERVICES, INC.",
"city": "GENEVA",
"state": "NY",
"postal_code": "14456",
"telephone_number": "315-781-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 PRE EMPTION RD",
"address_2": "SIBLEYS NURSING PERSONNEL SERVICES, INC.",
"city": "GENEVA",
"state": "NY",
"postal_code": "14456",
"telephone_number": "315-781-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "JUNE",
"middle_name": "TRIMBLE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "047530-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.