Jeannette Grace Duffau, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

3953321 Issued in NY

Practice address

306 Krumville Rd
Olivebridge, NY 12461-5527

Phone

(845) 657-8597

NPI assigned

Aug 11, 2009

Last updated

Aug 11, 2009By 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 4

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": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1679705529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 KRUMVILLE RD",
            "city": "OLIVEBRIDGE",
            "state": "NY",
            "postal_code": "124615527",
            "telephone_number": "845-657-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 KRUMVILLE RD",
            "city": "OLIVEBRIDGE",
            "state": "NY",
            "postal_code": "124615527",
            "telephone_number": "845-657-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFAU",
        "first_name": "JEANNETTE",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "3953321",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "3953321",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "3953321",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "NY",
            "license": "3953321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerren Bitner, LCSWR
• Courtnie Burke, LCAT
• Virginia A Castrogiovanni, RN
• Suellen Elmendorf, FNP
• Mary Ann Teresa Fraser, CCC-SLP
• Lori Beth Gundberg, LPN
• Harmonic Adult Health NP PLLC
• Paul Wyant Kahn, LCSW

• Registered Nurse in Olivebridge, NY
• Providers in Olivebridge, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.