Active NPI
Jennifer Hector-Norris
- Adult Psychiatric/Mental Health Registered Nurse
- Middletown, NY
National Provider Identifier
1639617046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 563340
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 563340 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
| F311182-01 | NY | MD | Gerontology Nurse Practitioner |
Interoperability endpoints
- 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.