Samantha Jankowski, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

307032-1 Issued in NY

Practice address

10566 County Highway 18
South Kortright, NY 13842-2451

Phone

(607) 538-1417

Fax

(607) 538-1418

NPI assigned

Jan 22, 2015

Last updated

Jan 22, 2015By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Houses of New York, Inc.

  • Substance Abuse Rehabilitation Facility
  • New York, NY
  • NPI 1134297153
  NPD (past)

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1689063075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10566 COUNTY HIGHWAY 18",
            "city": "SOUTH KORTRIGHT",
            "state": "NY",
            "postal_code": "138422451",
            "telephone_number": "607-538-1417",
            "fax_number": "607-538-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10566 COUNTY HIGHWAY 18",
            "city": "SOUTH KORTRIGHT",
            "state": "NY",
            "postal_code": "138422451",
            "telephone_number": "607-538-1417",
            "fax_number": "607-538-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWSKI",
        "first_name": "SAMANTHA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "307032-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Bernice Lewis, PA
• Elisabeth J Marigliano, NPP
• Constance Helene McLean, RN
• Maureen Mildred Meadowcroft, RN
• Anna Reinshagen

• Licensed Practical Nurse in South Kortright, NY
• Providers in South Kortright, 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 Jan 22, 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.