Active NPI
Jamie Bernard
- Driver
- Watervliet, NY
National Provider Identifier
1780249276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 687458194
- Practice address
- 803 1St St
Watervliet, NY 12189-3502 - Phone
- (518) 248-2669
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 687458194 | NY | Primary |
Addresses
Primary practice location
803 1St St
Watervliet, NY 12189-3502
Mailing address
803 1St St
Watervliet, NY 12189-3502
Phone (518) 248-2669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5548566 | Other | ASSIGNED FILING NUMBER WITH NEW YORK STATE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 687458194 | NY | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1780249276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 1ST ST",
"city": "WATERVLIET",
"state": "NY",
"postal_code": "121893502",
"telephone_number": "518-248-2669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 1ST ST",
"city": "WATERVLIET",
"state": "NY",
"postal_code": "121893502",
"telephone_number": "518-248-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "JAMIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NY",
"license": "687458194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSIGNED FILING NUMBER WITH NEW YORK STATE",
"identifier": "5548566",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Watervliet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.