Jean Veronica Wellington, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

499287-1 Issued in NY

Practice address

103 Courtshire LN
Penfield, NY 14526-2679

Phone

(585) 223-8405

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1790984342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COURTSHIRE LN",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262679",
            "telephone_number": "585-223-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COURTSHIRE LN",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262679",
            "telephone_number": "585-223-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLINGTON",
        "first_name": "JEAN",
        "middle_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "499287-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ETIN",
            "identifier": "TQC",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER IDENTIF",
            "identifier": "02193415",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL N",
            "identifier": "499287-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Michelle Weber
• Karen Wegener
• Wegmans Food Markets, Inc.
• Jerome A Weiss, MD
• Elizabeth Welch, DPT, ATC
• Tracy Wemple
• Sharayah E Werner, BS
• Western New York Dental Group, P.C
• Western New York Medical Practice, P.C.
• Weston Paxxon PT,OT & SLP, PLLC

• Registered Nurse in Penfield, NY
• Providers in Penfield, NY by specialty
• Registered Nurse in New York

• 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.