Active NPI
Paul D Tape, RN NURSE
- Registered Nurse
- Rochester, NY
National Provider Identifier
1982995833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 656746
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2487281 | Other | NY | LPN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 656746 | NY | MD | Registered Nurse |
| 2487281 | NY | MD | Licensed 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.