Individual provider Active NPI

Samone Marie Thomas-Parson, LPN

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1639379423
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
270552-1 Issued in NY
Practice address
176 Mitchell St
Rochester, NY 14621-3956
Phone
(585) 615-1511
Fax
(585) 288-0479
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 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 270552-1 NY Primary

Addresses

Primary practice location

176 Mitchell St
Rochester, NY 14621-3956

Mailing address

176 Mitchell St
Rochester, NY 14621-3956
Phone (585) 615-1511

Other identifiers 1

IdentifierTypeStateIssuer
02755939MedicaidNY

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
270552-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1639379423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MITCHELL ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213956",
            "telephone_number": "585-615-1511",
            "fax_number": "585-288-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MITCHELL ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213956",
            "telephone_number": "585-615-1511",
            "fax_number": "585-288-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-PARSON",
        "first_name": "SAMONE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "270552-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02755939",
            "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 Jul 20, 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.