Individual provider Active NPI

Julissa Jasmine Kain, LPN

  • Licensed Practical Nurse
  • Elmira, NY
National Provider Identifier
1801288857
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
316575 Issued in NY
Practice address
94 Evergreen Ave
Elmira, NY 14905-1808
Phone
(607) 481-5450
Fax
(607) 737-7788
NPI assigned
Feb 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 316575 NY Primary

Addresses

Primary practice location

94 Evergreen Ave
Elmira, NY 14905-1808

Mailing address

94 Evergreen Ave
Elmira, NY 14905-1808
Phone (607) 481-5450

Other names 1

  • Miss Julissa Jasmine Kain Professional name

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
316575NYMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1801288857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 EVERGREEN AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051808",
            "telephone_number": "607-481-5450",
            "fax_number": "607-737-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 EVERGREEN AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051808",
            "telephone_number": "607-481-5450",
            "fax_number": "607-737-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIN",
        "first_name": "JULISSA",
        "middle_name": "JASMINE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "316575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULISSA",
            "last_name": "KAIN",
            "middle_name": "JASMINE",
            "prefix": "MISS",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.