Active NPI
Jennifer Perry, RN
- School Registered Nurse
- East Pembroke, NY
National Provider Identifier
1881244697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 589548-1
- Practice address
- 2486 Main Rd
East Pembroke, NY 14056 - Phone
- (585) 762-8713
- NPI assigned
- Sep 13, 2019
- Last updated
- Sep 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 589548-1 | NY | Primary |
Addresses
Primary practice location
2486 Main Rd
East Pembroke, NY 14056
Mailing address
2486 Main Rd
East Pembroke, NY 14056
Phone (585) 762-8713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 589548-1 | Other | NY | NEW YORK STATE OFFICE OF PROFESSIONS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 589548-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1881244697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2486 MAIN RD",
"city": "EAST PEMBROKE",
"state": "NY",
"postal_code": "14056",
"telephone_number": "585-762-8713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2486 MAIN RD",
"city": "EAST PEMBROKE",
"state": "NY",
"postal_code": "14056",
"telephone_number": "585-762-8713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "589548-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE OFFICE OF PROFESSIONS",
"identifier": "589548-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Pembroke, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.