Individual provider Active NPI

Jennifer Lisa Hoose, R.N.

  • Local Education Agency (LEA)
  • Montour Falls, NY
National Provider Identifier
1770840597
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
480379-1 Issued in NY
Practice address
262 Canal St
Montour Falls, NY 14865-9600
Phone
(607) 535-7517
Fax
(607) 535-7802
NPI assigned
Apr 18, 2012
Last updated
Apr 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 480379-1 NY Primary

Addresses

Primary practice location

262 Canal St
Montour Falls, NY 14865-9600

Mailing address

262 Canal St
Montour Falls, NY 14865-9600
Phone (607) 535-7517

Other identifiers 1

IdentifierTypeStateIssuer
15-6002322MedicaidNY

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

LicenseStateTypeSpecialty
480379-1NYMDLocal Education Agency (LEA)

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1770840597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 CANAL ST",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "148659600",
            "telephone_number": "607-535-7517",
            "fax_number": "607-535-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CANAL ST",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "148659600",
            "telephone_number": "607-535-7517",
            "fax_number": "607-535-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOSE",
        "first_name": "JENNIFER",
        "middle_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "480379-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15-6002322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montour Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.