Individual provider Active NPI

Jessika Marilyn Folley, LPN

  • Licensed Practical Nurse
  • Kenmore, NY
National Provider Identifier
1578908331
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
315941 Issued in NY
Practice address
1976 Sheridan Dr
Apt 8
Kenmore, NY 14223-1226
Phone
(716) 449-6291
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X OH
Nurse's Aide 376K00000X 401301760911 OH
Nurse's Aide 376K00000X 343175281011R NY
Licensed Practical Nurse 164W00000X PN.152897-M-IV OH
Licensed Practical Nurse 164W00000X 315941 NY Primary

Addresses

Primary practice location

1976 Sheridan Dr
Apt 8
Kenmore, NY 14223-1226

Mailing address

264 S la Cienega Blvd
Suite 909
Beverly Hills, CA 90211-3302
Phone (716) 449-6291

Other names 1

  • Jessika M Folley Professional name

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

LicenseStateTypeSpecialty
315941NYMDLicensed Practical Nurse
PN.152897-M-IVOHMDLicensed Practical Nurse
343175281011RNYMDNurse's Aide
401301760911OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1578908331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 S LA CIENEGA BLVD",
            "address_2": "SUITE 909",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113302",
            "telephone_number": "716-449-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 SHERIDAN DR",
            "address_2": "APT 8",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142231226",
            "telephone_number": "716-449-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLLEY",
        "first_name": "JESSIKA",
        "middle_name": "MARILYN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401301760911",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NY",
            "license": "343175281011R",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.152897-M-IV",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "315941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIKA",
            "last_name": "FOLLEY",
            "middle_name": "M",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.