Active NPI
Jessica Danielle Gregory, CRNA, RN, BSN, MSN
- Certified Registered Nurse Anesthetist
- Bay Shore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 661821
- Practice address
- 301 E Main St
Bay Shore, NY 11706-8408 - Phone
- (516) 734-7000
- NPI assigned
- Feb 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 661821 | NY | Primary |
| Registered Nurse | 163W00000X | 661821 | NY |
Addresses
Primary practice location
301 E Main St
Bay Shore, NY 11706-8408
Mailing address
20 Ave at Port Imperial Apt 416
West New York, NJ 07093-8421
Phone (775) 688-9518
Other names 1
- Jessica Danielle Lamoureux
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, HI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Phone (808) 245-1500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.39 of 100
- Quality
- 79.9
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science - Nursing, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients |
Locations
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Lihue, HI
- NPI 1376596643
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Durable Medical Equipment & Medical Supplies
- Koloa, HI
- NPI 1871611558
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lihue, HI
- NPI 1225113442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1841757135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 AVE AT PORT IMPERIAL APT 416",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070938421",
"telephone_number": "775-688-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068408",
"telephone_number": "516-734-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "JESSICA",
"middle_name": "DANIELLE",
"credential": "CRNA, RN, BSN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "661821",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "661821",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "LAMOUREUX",
"middle_name": "DANIELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.