Tina Joanne Passett, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

479166-0 Issued in NY

Practice address

4080 Mercun Dr
Jamesville, NY 13078-8757

Phone

(315) 492-3417

NPI assigned

Jan 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891845277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 MERCUN DR",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130788757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MERCUN DR",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130788757",
            "telephone_number": "315-492-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSETT",
        "first_name": "TINA",
        "middle_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "479166-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Catherine Neumann, M.A. CCC-SLP
• Susan Gabel Nitka, M.D.
• Janee Palmer, DDS
• Joshua John Papworth
• Partners for Change
• Hannah Noel Pietra, MT-BC, LCAT
• Stacey Piscitell, RN
• Jonathan Quick
• Betty Jean Raulli, LMHC
• Joseph Oren Reagan, MD

• Registered Nurse in Jamesville, NY
• Providers in Jamesville, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.