Individual provider Active NPI

Jennifer Lee Hinz, LPN

  • Registered Nurse
  • Machias, NY
National Provider Identifier
1750419701
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
524173 Issued in NY
Practice address
4146 Sisson Rd
Machias, NY 14101-9759
Phone
(716) 353-8028
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

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
524173NYMDRegistered Nurse
260761-1NYMDLicensed Practical Nurse

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 260761-1 NY
Registered Nurse 163W00000X 524173 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

4146 Sisson Rd
Machias, NY 14101-9759

Mailing address

4146 Sisson Rd
Machias, NY 14101-9759
Phone (716) 353-8028

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
02847941MedicaidNY
02750970MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2007.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1750419701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 SISSON RD",
            "city": "MACHIAS",
            "state": "NY",
            "postal_code": "141019759",
            "telephone_number": "716-353-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 SISSON RD",
            "city": "MACHIAS",
            "state": "NY",
            "postal_code": "141019759",
            "telephone_number": "716-353-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZ",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "260761-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "524173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02847941",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02750970",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Machias, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.