Individual provider Active NPI

Jacqueline Federici, RN

  • Registered Nurse
  • Richmond Hill, NY
National Provider Identifier
1881000610
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
324597-1 Issued in NY
Practice address
13020 89TH Rd
Richmond Hill, NY 11418-3301
Phone
(718) 441-8914
NPI assigned
Jul 1, 2014
Last updated
Jul 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 324597-1 NY Primary

Addresses

Primary practice location

13020 89TH Rd
Richmond Hill, NY 11418-3301

Mailing address

13020 89TH Rd
Richmond Hill, NY 11418-3301
Phone (718) 441-8914

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
324597-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1881000610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 89TH RD",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183301",
            "telephone_number": "718-441-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 89TH RD",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183301",
            "telephone_number": "718-441-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICI",
        "first_name": "JACQUELINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "324597-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.