Genesis Iris Tooker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

322334 Issued in NY

Practice address

16 Allegheny Dr W
Farmingville, NY 11738-2840

Phone

(631) 855-6059

NPI assigned

Nov 20, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1831735315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ALLEGHENY DR W",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382840",
            "telephone_number": "631-855-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ALLEGHENY DR W",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382840",
            "telephone_number": "631-855-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOKER",
        "first_name": "GENESIS",
        "middle_name": "IRIS",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "322334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Farmer'S Medical Group, PC
• The Stop & Shop Supermarket Company LLC
• Jaclyn Tiernan, RN
• Tyrell Mathew Tillary
• Samad Tirmizi
• Dennys Torres
• Total Dental Care of Farmingville, LLP
• Dawn Yumi Tottenham, MD
• Brianne Nicole Traina
• Linda Renee Trent, L.M.S.W.

• Licensed Practical Nurse in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.