Individual provider Active NPI

Jacqueline Marie Dummer

  • Peer Specialist
  • Rochester, NY
National Provider Identifier
1619894656
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CRPA-P-8340 Issued in NY
Practice address
360 East Ave Ste 100
Rochester, NY 14604-2699
Phone
(585) 325-5100
Fax
(585) 325-5154
NPI assigned
Jul 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CRPA-P-8340 NY Primary

Addresses

Primary practice location

360 East Ave Ste 100
Rochester, NY 14604-2699

Mailing address

175 Alexander St Apt 319
Rochester, NY 14607-3669
Phone (585) 325-5100

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

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1619894656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ALEXANDER ST APT 319",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073669",
            "telephone_number": "585-325-5100",
            "fax_number": "585-325-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 EAST AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042699",
            "telephone_number": "585-325-5100",
            "fax_number": "585-325-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMMER",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "CRPA-P-8340",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 1, 2026; 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.