Individual provider Active NPI

Paul D Tape, RN NURSE

  • Registered Nurse
  • Rochester, NY
National Provider Identifier
1982995833
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
656746 Issued in NY
Practice address
363 Britton Rd
Rochester, NY 14616-3207
Phone
(585) 615-1422
NPI assigned
Apr 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2487281 NY
Registered Nurse 163W00000X 656746 NY Primary

Addresses

Primary practice location

363 Britton Rd
Rochester, NY 14616-3207

Mailing address

363 Britton Rd
Rochester, NY 14616-3207
Phone (585) 615-1422

Other practice location 1

19 Court St
White Plains, NY 10601-3310
Phone (914) 946-2810

Other identifiers 1

IdentifierTypeStateIssuer
2487281OtherNYLPN

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
656746NYMDRegistered Nurse
2487281NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1982995833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 BRITTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146163207",
            "telephone_number": "585-615-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 BRITTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146163207",
            "telephone_number": "585-615-1422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Court St",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106013310",
            "country_code": "US",
            "telephone_number": "914-946-2810",
            "fax_number": "585-325-6059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAPE",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "RN NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2487281",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "656746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "2487281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.