Jaime A Lelle, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

579709-01 Issued in NY

Practice address

7 Lisa CT
Fort Salonga, NY 11768-2734

Phone

(631) 645-1873

NPI assigned

Oct 4, 2021

Last updated

Oct 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1639841166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LISA CT",
            "city": "FORT SALONGA",
            "state": "NY",
            "postal_code": "117682734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LISA CT",
            "city": "FORT SALONGA",
            "state": "NY",
            "postal_code": "117682734",
            "telephone_number": "631-645-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELLE",
        "first_name": "JAIME",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "579709-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Johnson
• Jeannine Kennedy
• Marissa Leigh Kistner, MS ED.
• Giovanni Luca Kubanick
• Laura Marr LCSW Services, P.C.
• Laura L Marr, LCSW
• Teresa Anne Merlucci, LCSW
• Susan Miller, RD
• Jacquelin Andrea Morris, A.S.
• Elana Naclerio, MA, ATR-BC, LCAT

• Pediatric Registered Nurse in Fort Salonga, NY
• Providers in Fort Salonga, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.