Individual provider Active NPI

Javon Hicks-Day

  • Licensed Practical Nurse
  • Buffalo, NY
National Provider Identifier
1952609018
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
302452-1 Issued in NY
Practice address
254 Saint Lawrence Ave
Buffalo, NY 14216-1360
Phone
(716) 715-6713
NPI assigned
Mar 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 302452-1 NY Primary

Addresses

Primary practice location

254 Saint Lawrence Ave
Buffalo, NY 14216-1360

Mailing address

254 Saint Lawrence Ave
Buffalo, NY 14216-1360
Phone (716) 715-6713

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

State licenses

LicenseStateTypeSpecialty
302452-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1952609018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 SAINT LAWRENCE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161360",
            "telephone_number": "716-715-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 SAINT LAWRENCE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161360",
            "telephone_number": "716-715-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS-DAY",
        "first_name": "JAVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "302452-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.