Active NPI
Jennifer Rae Kelly Diers, LPN
- Licensed Practical Nurse
- Gerry, NY
National Provider Identifier
1851698708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 304424
- Practice address
- 4972 Route 60
Gerry, NY 14740-9561 - Phone
- (716) 607-0146
- NPI assigned
- Feb 11, 2011
- Last updated
- Feb 11, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 304424 | NY | Primary |
Addresses
Primary practice location
4972 Route 60
Gerry, NY 14740-9561
Mailing address
4972 Route 60
Gerry, NY 14740-9561
Phone (716) 607-0146
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297382400000",
"number": "1851698708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4972 ROUTE 60",
"city": "GERRY",
"state": "NY",
"postal_code": "147409561",
"telephone_number": "716-607-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4972 ROUTE 60",
"city": "GERRY",
"state": "NY",
"postal_code": "147409561",
"telephone_number": "716-607-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIERS",
"first_name": "JENNIFER",
"middle_name": "RAE KELLY",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-11",
"last_updated": "2011-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "304424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gerry, NY
- Charlene Marie Biscaro
- Toni Bixby, PT, DPT
- Vicki L Carlson, MSED.,SLP-CCC
- Gerry Homes, Inc (Heritage Village Retirement Campus)
- Gerry Nursing Home Company (Heritage Village Health Care Center)
- Gerry Volunteer Fire Department, Inc.
- Heritage Village Rehab & Skilled Nursing Inc
- Heritage Village Rehab and Skilled Nursing Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.