JENNIFER L MOONEY LPN
NPI 1093999153
Licensed Practical Nurse in Dexter, NY

Active since December 26, 2007
16873 COUNTY RT. 53, DEXTER, NY 13634(315) 489-6208 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2025, Apr 8, 2022, Jul 2, 2021 (3 updates tracked since 2021).

About Jennifer L Mooney Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER L MOONEY LPN (NPI 1093999153) is an individual licensed practical nurse in Dexter, New York, licensed in New York (266867) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1093999153
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJENNIFER L MOONEYCredential: LPN
Location Address16873 COUNTY RT. 53Dexter, NY 13634
Mailing Address16873 County Rte 53Dexter, NY 13634 · (315) 489-6208
Sole ProprietorYes
Enumeration DateDecember 26, 2007
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
NPI 1093999153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses Licensed in NY · 266867 Licensed in NY · 266867-1
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X
16873 COUNTY RT. 53, Dexter, NY 13634

Other Names 1

Former Name (1)Jennifer L Parody Lpn

Other Identifiers 1

Medicaid02569919NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mooney's NPI number?

The NPI number for Jennifer Mooney is 1093999153. It was assigned to this individual provider in the NPPES registry on December 26, 2007. The provider is also known as Jennifer L Parody Lpn.

Where is Jennifer Mooney located?

Jennifer Mooney practices at 16873 County Rt. 53, Dexter, NY 13634. The listed phone number is (315) 489-6208.

What is Jennifer Mooney's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Mooney was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.