Jacqueline C Tuohey, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

264348-1 Issued in NY

Practice address

5440 Borgase LN
Clay, NY 13041-8906

Phone

(315) 668-7967

NPI assigned

Sep 17, 2007

Last updated

Sep 17, 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

Other identifiers 1

Other names 1

• Jacqueline C Tuohey Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1942496682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 BORGASE LN",
            "address_2": "P.O. BOX 102",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418906",
            "telephone_number": "315-668-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 BORGASE LN",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418906",
            "telephone_number": "315-668-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUOHEY",
        "first_name": "JACQUELINE",
        "middle_name": "C",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "264348-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02330683",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "TUOHEY",
            "middle_name": "C",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Licensed Practical Nurse in Clay, NY
• Providers in Clay, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.