Individual provider Active NPI

Kenecia Thomas

  • School Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1083568653
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
847227-01 Issued in NY
Practice address
456 Dekalb Ave Apt 19D
Brooklyn, NY 11205-4443
Phone
(917) 780-9156
NPI assigned
Feb 23, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WS0200X 847227-01 NY Primary

Addresses

Primary practice location

456 Dekalb Ave Apt 19D
Brooklyn, NY 11205-4443

Mailing address

456 Dekalb Ave Apt 19D
Brooklyn, NY 11205-4443
Phone (917) 780-9156

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

LicenseStateTypeSpecialty
847227-01NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1083568653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 DEKALB AVE APT 19D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054443",
            "telephone_number": "917-780-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 DEKALB AVE APT 19D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054443",
            "telephone_number": "917-780-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KENECIA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "847227-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 23, 2026; 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.