Individual provider Active NPI

Jeanette Frances Hetherington, RN

  • School Registered Nurse
  • Tomkins Cove, NY
National Provider Identifier
1952187361
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
685722 Issued in NY
Practice address
4 Scandell CT
Tomkins Cove, NY 10986-1406
Phone
(203) 907-5102
NPI assigned
Sep 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 685722 NY Primary

Addresses

Primary practice location

4 Scandell CT
Tomkins Cove, NY 10986-1406

Mailing address

4 Scandell CT
Tomkins Cove, NY 10986-1406

Other names 1

  • Jeanette Frances Hague Former name

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
685722NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1952187361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SCANDELL CT",
            "city": "TOMKINS COVE",
            "state": "NY",
            "postal_code": "109861406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SCANDELL CT",
            "city": "TOMKINS COVE",
            "state": "NY",
            "postal_code": "109861406",
            "telephone_number": "203-907-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHERINGTON",
        "first_name": "JEANETTE",
        "middle_name": "FRANCES",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "685722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "HAGUE",
            "middle_name": "FRANCES",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tomkins Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.