Individual provider Active NPI

Tina Hopkins, FNP

  • Family Nurse Practitioner
  • Canandaigua, NY
National Provider Identifier
1780830802
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337787-1 Issued in NY
Practice address
120 N Main St Ste 11
Canandaigua, NY 14424-1258
Phone
(585) 396-0222
Fax
(585) 396-0639
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F337787-1 NY Primary

Addresses

Primary practice location

120 N Main St Ste 11
Canandaigua, NY 14424-1258

Mailing address

120 N Main St Ste 11
Canandaigua, NY 14424-1258
Phone (585) 396-0222

Other names 1

  • Tina Jackson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130913000493 NY Practitioner - Nurse Practitioner 4284878240 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F337787-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FLH Medical, PC CurrentSince Mar 6, 2013 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Midtown East Medical Services, PC CurrentSince Jul 26, 2024 Accepting new patients
FLH Medical, PC Current Accepting new patients
Soldiers & Sailors Memorial Hospital Past Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

789 Pre Emption Rd
Ste 600
Geneva, NY 14456
Phone (315) 719-0060

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

15 Fishers Rd
Ste 114
Pittsford, NY 14534
Phone (585) 376-7738

28 Cayuga St
Seneca Falls, NY 13148
Phone (315) 568-4415

1991 Balsley Rd
Seneca Falls, NY 13148
Phone (315) 539-0237

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Interoperability endpoints

  • Direct secure messaging: tina.hopkins.1@29290.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1780830802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST STE 11",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241258",
            "telephone_number": "585-396-0222",
            "fax_number": "585-396-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST STE 11",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241258",
            "telephone_number": "585-396-0222",
            "fax_number": "585-396-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "TINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337787-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "JACKSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.