Jennifer Gates, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

675317 Issued in NY

Practice address

3122 Route 11
La Fayette, NY 13084-9616

Phone

(315) 677-5507

NPI assigned

Mar 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Lafayette Central School District

  • Local Education Agency (LEA)
  • La Fayette, NY
  • NPI 1982913075
  NPD (past)

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1487047593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 ROUTE 11",
            "city": "LA FAYETTE",
            "state": "NY",
            "postal_code": "130849616",
            "telephone_number": "315-677-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 ROUTE 11",
            "city": "LA FAYETTE",
            "state": "NY",
            "postal_code": "130849616",
            "telephone_number": "315-677-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "675317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalie Bartolomeo, OTR/L
• Virginia Alice Brandt-Calderon, RN
• Ashley Marie Brown
• Timothy Brooks Cowart, IDC
• Everest Deadlock
• Sarah R Gheen, RN
• Bonnie Jean Greczyn, LPN
• James Hanley, LPN
• Jillian Hanley
• Melissa Hughes, LPN

• Registered Nurse in La Fayette, NY
• Providers in La Fayette, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.