Individual provider Active NPI

Jane L Swift-Senor

  • Licensed Practical Nurse
  • Hurleyville, NY
National Provider Identifier
1609072909
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
179403-1 Issued in NY
Practice address
164 Huschke Rd
Hurleyville, NY 12747-5218
Phone
(845) 434-0002
Fax
(845) 434-0002
NPI assigned
Jun 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 179403-1 NY Primary

Addresses

Primary practice location

164 Huschke Rd
Hurleyville, NY 12747-5218

Mailing address

164 Huschke Rd
Hurleyville, NY 12747-5218
Phone (845) 434-0002

Other identifiers 2

IdentifierTypeStateIssuer
179413OtherNYLICENSE#
02224871MedicaidNY

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
179403-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609072909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 HUSCHKE RD",
            "city": "HURLEYVILLE",
            "state": "NY",
            "postal_code": "127475218",
            "telephone_number": "845-434-0002",
            "fax_number": "845-434-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 HUSCHKE RD",
            "city": "HURLEYVILLE",
            "state": "NY",
            "postal_code": "127475218",
            "telephone_number": "845-434-0002",
            "fax_number": "845-434-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT-SENOR",
        "first_name": "JANE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "179403-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "179413",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02224871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurleyville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.