Active NPI
Carissa Jensen, RN
- Registered Nurse
- Geneva, NY
National Provider Identifier
1669246930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 752200
- Practice address
- 601B W Washington St
Geneva, NY 14456-2119 - Phone
- (315) 787-8151
- NPI assigned
- Nov 8, 2023
- Last updated
- Nov 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 752200 | NY | Primary |
Addresses
Primary practice location
601B W Washington St
Geneva, NY 14456-2119
Mailing address
601B W Washington St
Geneva, NY 14456-2119
Phone (315) 781-8448
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
| License | State | Type | Specialty |
|---|---|---|---|
| 752200 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1669246930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601B W WASHINGTON ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562119",
"telephone_number": "315-781-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601B W WASHINGTON ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562119",
"telephone_number": "315-787-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "CARISSA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "752200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, NY
- Erica Lynn Iversen, RN
- J. Kent Maurer, OD
- James M. Inzerillo, MD, PLLC (Finger Lakes Physiatry and Integrative Health Care)
- Cassandra L Jansen, DENTAL HYGIENIST
- Amy Jennings
- Susan Barbara Jess de Navarrete, LMFT
- Rachael Beth Johengen, DO
- Alice Johnson, FNP
- Bradley P Johnson, CRNA
- Yvonne C Jolly, R.N., M.S., A.N.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.