Jacqueline Repp, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

391557 Issued in NY

Practice address

2000 Lehigh Station Rd
Henrietta, NY 14467-9620

Phone

(585) 359-5560

NPI assigned

Mar 29, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Rush Henrietta Central School District

  • Local Education Agency (LEA)
  • Henrietta, NY
  • NPI 1376839670
  NPD (past)

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1891061263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LEHIGH STATION RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679620",
            "telephone_number": "585-359-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LEHIGH STATION RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679620",
            "telephone_number": "585-359-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPP",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "391557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01497492",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel E Phillips, D.D.S.
• Torlanda Poindexter, DPT
• Diane Elizabeth Potter
• Yamilka Quirindongo
• Jennifer Lynn Reddout, LPN
• Rite Aid
• Timothy Jireh Roberts, LPN
• Ginger Robertson, PMHNP-BC
• Stephanie M Rodgers, RN, RT
• Jennifer Elizabeth Rouse, M.S., CCC-SLP

• School Registered Nurse in Henrietta, NY
• Providers in Henrietta, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.