Active NPI
Jenna Lee Lafty, LPN
- Licensed Practical Nurse
- Williamsport, PA
National Provider Identifier
1982338463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN309082
- Practice address
- 1000 Commerce Park Dr Ste 110
Williamsport, PA 17701-5475 - Phone
- (570) 323-6944
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN309082 | PA | Primary |
Addresses
Primary practice location
1000 Commerce Park Dr Ste 110
Williamsport, PA 17701-5475
Mailing address
320 Highland Dr
Mountville, PA 17554-1232
Phone (717) 285-7121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN309082 | Other | PA | STATE LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | laftyc@csgonline.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN309082 | PA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Services Group, Inc. | Current | Accepting new patients |
Locations
320 Highland Dr
Mountville, PA 17554
Phone (717) 285-7121
1000 Commerce Park Dr
Ste 110
Williamsport, PA 17701
Phone (570) 323-6944
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.
-
- Community/Behavioral Health Agency
- Mountville, PA
- NPI 1265426084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1982338463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 HIGHLAND DR",
"city": "MOUNTVILLE",
"state": "PA",
"postal_code": "175541232",
"telephone_number": "717-285-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 COMMERCE PARK DR STE 110",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177015475",
"telephone_number": "570-323-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFTY",
"first_name": "JENNA",
"middle_name": "LEE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN309082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PN309082",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "laftyc@csgonline.org",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1000 Commerce Park Dr Ste 110",
"city": "Williamsport",
"state": "PA",
"country_code": "US",
"postal_code": "177015475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.