Jacquelyn Mary Siverling, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

22-728422 Issued in NY

Practice address

5130 E Main Street Rd
Batavia, NY 14020-3496

Phone

(585) 344-1421

Fax

(585) 345-3080

NPI assigned

Apr 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Genesee County Treasurer

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Batavia, NY
  • NPI 1588602064
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1982068441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 E MAIN STREET RD",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203496",
            "telephone_number": "585-344-1421",
            "fax_number": "585-345-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 E MAIN STREET RD",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203496",
            "telephone_number": "585-344-1421",
            "fax_number": "585-345-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVERLING",
        "first_name": "JACQUELYN",
        "middle_name": "MARY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "308530-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22-728422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Siedlecki, DPT
• John Walter Sielski
• Grace Mae Simmons, FNP-C
• Chelsey Simon, MS, CTRS
• Kati Sisson
• Nichole Sixt
• Marianne Skye, PTA, RYT-200
• Lucy Ashbrook Sloan, MS IN OT, CIMI
• Autumn Smith
• Deacon Smith

• Registered Nurse in Batavia, NY
• Providers in Batavia, 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 Feb 27, 2017; 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.