Kauniko McCormick, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

347039 Issued in NY

Practice address

900 Baychester Ave
Bronx, NY 10475-1704

Phone

(718) 450-0826

NPI assigned

Jan 30, 2014

Reactivated

Apr 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1003239831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BAYCHESTER AVE",
            "address_2": "H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751704",
            "telephone_number": "718-450-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751704",
            "telephone_number": "718-450-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "KAUNIKO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-08",
        "deactivation_date": "2021-02-02",
        "reactivation_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "677831",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chimere McConnell, NP
• Samuel Jonathan McConnell, DDS
• Kathy Certain McCook, PAC
• Eve McCormick Millard, L.C.S.W.
• James Joseph McCormick II, CPNP
• Margaret E McCort, M.D.
• Samuel Hiram McCorvey, LCSW -R
• Mary P McCourt, PNP
• Coleen McCoy
• Jennifer McCoy, RN

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.