Individual provider Active NPI

Janice Betty Kosseh-Butcher, RN

  • Registered Nurse
  • Jamaica, NY
National Provider Identifier
1659673564
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
634234 Issued in NY
Practice address
11118 169TH St
Jamaica, NY 11433-3920
Phone
(718) 739-5049
NPI assigned
Nov 29, 2010
Last updated
Nov 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 634234 NY Primary

Addresses

Primary practice location

11118 169TH St
Jamaica, NY 11433-3920

Mailing address

11118 169TH St
Jamaica, NY 11433-3920
Phone (718) 739-5049

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
634234NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1659673564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11118 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333920",
            "telephone_number": "718-739-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11118 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333920",
            "telephone_number": "718-739-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSEH-BUTCHER",
        "first_name": "JANICE",
        "middle_name": "BETTY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "634234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.