Active NPI
Jane L Patterson, NP
- Adult Health Nurse Practitioner
- Rochester, NY
National Provider Identifier
1508948142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 301132
- Practice address
- 222 Alexander St
Ste 5500
Rochester, NY 14607-4039 - Phone
- (585) 922-8444
- Fax
- (585) 922-8405
- NPI assigned
- Oct 20, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 301132 | NY | Primary |
Addresses
Primary practice location
222 Alexander St
Ste 5500
Rochester, NY 14607-4039
Mailing address
222 Alexander St
Ste 5500
Rochester, NY 14607-4039
Phone (585) 922-8444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02985091 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301132 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1508948142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 ALEXANDER ST",
"address_2": "STE 5500",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146074039",
"telephone_number": "585-922-8444",
"fax_number": "585-922-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 ALEXANDER ST",
"address_2": "STE 5500",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146074039",
"telephone_number": "585-922-8444",
"fax_number": "585-922-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JANE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "301132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02985091",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.