Active NPI
Kathryn Ellen Jefferies, RN
- Registered Nurse
- Cuba, NY
National Provider Identifier
1992074009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 298414-1
- Practice address
- 15 Elm St
Cuba, NY 14727-1014 - Phone
- (585) 968-1760
- Fax
- (585) 968-3181
- NPI assigned
- Dec 19, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 298414-1 | NY | Primary |
Addresses
Primary practice location
15 Elm St
Cuba, NY 14727-1014
Mailing address
15 Elm St
Cuba, NY 14727-1014
Phone (585) 968-1760
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 |
|---|---|---|---|
| 298414-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuba-Rushford Central School | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Cuba, NY
- NPI 1013047802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1992074009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ELM ST",
"city": "CUBA",
"state": "NY",
"postal_code": "147271014",
"telephone_number": "585-968-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ELM ST",
"city": "CUBA",
"state": "NY",
"postal_code": "147271014",
"telephone_number": "585-968-1760",
"fax_number": "585-968-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERIES",
"first_name": "KATHRYN",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-19",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "298414-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cuba, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.