JERIICA KELLY WEATHERUP
NPI 1063281558
Licensed Practical Nurse in Watertown, NY
- Individual
- Female
- Licensed Practical Nurse
About JERIICA WEATHERUP
This page provides the complete NPI Profile along with additional information for Jeriica Weatherup, a provider established in Watertown, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1063281558 assigned on December 2023. The practitioner's primary taxonomy code is 164W00000X with license number 321769 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1063281558 Verify this NPI
- Provider Name
- JERIICA KELLY WEATHERUP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 650 STATE STREET WATERTOWN, NY 13601
- Location Phone
- (315) 755-1251
- Location Fax
- (315) 291-6601
- Mailing Address
- 114 SCIO ST WATERTOWN, NY 13601
- Mailing Phone
- (315) 921-1878
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-26-2023
- Last Update Date
- 12-26-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 321769
- License State
- NY
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 321769 | OTHER (01) | NY | LICENSED PRACTICAL NURSE |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WATERTOWN, NY 13601
WATERTOWN, NY 13601
WATERTOWN, NY 13601
WATERTOWN, NY 13601
WATERTOWN, NY 13601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063281558, enumerated as an "individual" on December 26, 2023.
The provider is located at 650 STATE STREET WATERTOWN, NY 13601 and the phone number is (315) 755-1251.
Licensed Practical Nurse with taxonomy code 164W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
