Joanne Sedgwick, RN

Key facts

NPI

1629438429

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

5444151 (NY)

Practice address

6452 State Route 22
Salem, NY 12865-5502

Phone

(518) 854-3191

NPI assigned

Mar 7, 2016

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2016.

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1629438429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6452 STATE ROUTE 22",
            "city": "SALEM",
            "state": "NY",
            "postal_code": "128655502",
            "telephone_number": "518-854-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6452 STATE ROUTE 22",
            "city": "SALEM",
            "state": "NY",
            "postal_code": "128655502",
            "telephone_number": "518-854-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDGWICK",
        "first_name": "JOANNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "5444151",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "5444151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Salem, NY · Registered Nurse in New York