Jillian Erica Dibble, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

340961-01 Issued in NY

Practice address

1133 Akron Rd
Corfu, NY 14036-9717

Phone

(585) 356-6218

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1659948982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 AKRON RD",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369717",
            "telephone_number": "585-356-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 AKRON RD",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369717",
            "telephone_number": "585-356-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBLE",
        "first_name": "JILLIAN",
        "middle_name": "ERICA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "340961-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie S Burdick, M.A. CLINICAL PSYCH
• Burling Drug Co of Corfu Inc
• Daniel J Burling, R.P.H.
• Deanna Crawford, EMT-B
• Jessica Rose Dentinger, L.M.T.
• Lindsey Ryan Dibble, OT R/L
• Jacqueline Hope Dubois, RN
• Darlene Carol Dylag, COTA
• Joan M Dylag, M.ED.
• Katherine Dylag, M.S.

• Licensed Practical Nurse in Corfu, NY
• Providers in Corfu, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.