Active NPI
Jeannelle Keisha Little, MSED
- Contractor
- Brooklyn, NY
National Provider Identifier
1083025910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 829886141
- Practice address
- 308 E 29TH St BSMT Apt
Brooklyn, NY 11226-7169 - Phone
- (347) 528-5211
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 829886141 | NY | Primary |
Addresses
Primary practice location
308 E 29TH St BSMT Apt
Brooklyn, NY 11226-7169
Mailing address
308 E 29TH St BSMT Apt
Brooklyn, NY 11226-7169
Phone (347) 528-5211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 829887141 | Other | NY | EARLY CHILDHOOD EDUCATION (BIRTH- GRADE 2) INITIAL CERTIFICATION |
| 829886141 | Other | NY | STUDENT WITH DISABILITIES (BIRTH- GRADE 2) INITIAL CERTIFICATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 829886141 | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1083025910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 E 29TH ST BSMT APT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112267169",
"telephone_number": "347-528-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 E 29TH ST BSMT APT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112267169",
"telephone_number": "347-528-5211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "JEANNELLE",
"middle_name": "KEISHA",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "829886141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EARLY CHILDHOOD EDUCATION (BIRTH- GRADE 2) INITIAL CERTIFICATION",
"identifier": "829887141",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STUDENT WITH DISABILITIES (BIRTH- GRADE 2) INITIAL CERTIFICATION",
"identifier": "829886141",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.