Individual provider Active NPI

Jacqueline Ann Reyman, RN

  • School Registered Nurse
  • Hoosick Falls, NY
National Provider Identifier
1902669062
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
865959-01 Issued in NY
Practice address
21187 State Route 22
Hoosick Falls, NY 12090-3928
Phone
(518) 686-7012
Fax
(518) 686-7371
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 865959-01 NY Primary

Addresses

Primary practice location

21187 State Route 22
Hoosick Falls, NY 12090-3928

Mailing address

PO Box 192
Hoosick Falls, NY 12090-0192
Phone (518) 686-7012

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
865959-01NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hoosick Falls Central School District PastSince Feb 4, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1902669062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "HOOSICK FALLS",
            "state": "NY",
            "postal_code": "120900192",
            "telephone_number": "518-686-7012",
            "fax_number": "518-686-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21187 STATE ROUTE 22",
            "city": "HOOSICK FALLS",
            "state": "NY",
            "postal_code": "120903928",
            "telephone_number": "518-686-7012",
            "fax_number": "518-686-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYMAN",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "865959-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoosick Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.