Kettly Rodney, R.N

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

5122881 Issued in NY

Practice address

122 E 23Rd St
2ND Floor
New York, NY 10010-4516

Phone

(212) 677-7400

Fax

(212) 529-2071

NPI assigned

Feb 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1063682409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 AVENUE H",
            "address_2": "APT. 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103354",
            "telephone_number": "718-877-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E 23RD ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104516",
            "telephone_number": "212-677-7400",
            "fax_number": "212-529-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODNEY",
        "first_name": "KETTLY",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "5122881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rodin, MD
• Iryna Rodionova
• Gae Michele Rodke, MD
• Kimberly Rodman Aronson, PSY.D.
• John Stephen Rodman, MD
• Alexander Rodolitz
• Jessica Rodrick
• Nathalie Rodrigues de Carvalho
• Andrea Rodrigues, NP
• Augusto Rodrigues, DDS

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.