Individual provider Active NPI

Jennifer Hector-Norris

  • Adult Psychiatric/Mental Health Registered Nurse
  • Middletown, NY
National Provider Identifier
1639617046
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
563340 Issued in NY
Practice address
45 Ashley Ave
Middletown, NY 10940-1912
Phone
(845) 707-1646
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 563340 NY Primary
Registered Nurse 163W00000X 563340 NY
Community Health Registered Nurse 163WC1500X 563340 NY
Home Health Registered Nurse 163WH0200X 563340 NY
Adult Health Nurse Practitioner 363LA2200X F311182-01 NY
Gerontology Nurse Practitioner 363LG0600X F311182-01 NY

Addresses

Primary practice location

45 Ashley Ave
Middletown, NY 10940-1912

Mailing address

PO Box 407
Youngsville, NY 12791-0407
Phone (845) 482-2013

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
563340NYMDAdult Psychiatric/Mental Health Registered Nurse
F311182-01NYMDGerontology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jennifer.hector-norris.1@19157.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1639617046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "YOUNGSVILLE",
            "state": "NY",
            "postal_code": "127910407",
            "telephone_number": "845-482-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ASHLEY AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109401912",
            "telephone_number": "845-707-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECTOR-NORRIS",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "563340",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "563340",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "563340",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "563340",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311182-01",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F311182-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.