Individual provider Active NPI

Jennifer Marriott

  • Licensed Practical Nurse
  • Richfield Springs, NY
National Provider Identifier
1669723607
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
310773-1 Issued in NY
Practice address
1040 County Highway 25
Richfield Springs, NY 13439-4722
Phone
(315) 858-5448
NPI assigned
Oct 1, 2012
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 310773-1 NY Primary

Addresses

Primary practice location

1040 County Highway 25
Richfield Springs, NY 13439-4722

Mailing address

1040 County Highway 25
Richfield Springs, NY 13439-4722
Phone (315) 858-5448

Other names 1

  • Jennifer Natali Former name

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

LicenseStateTypeSpecialty
310773-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1669723607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 COUNTY HIGHWAY 25",
            "city": "RICHFIELD SPRINGS",
            "state": "NY",
            "postal_code": "134394722",
            "telephone_number": "315-858-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 COUNTY HIGHWAY 25",
            "city": "RICHFIELD SPRINGS",
            "state": "NY",
            "postal_code": "134394722",
            "telephone_number": "315-858-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRIOTT",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310773-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NATALI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richfield Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.