Individual provider Active NPI

Patrick John Keschl, LPN

  • Licensed Practical Nurse
  • Breinigsville, PA
National Provider Identifier
1104365337
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
296980-1 Issued in NY
Practice address
8715 Pathfinder Rd
Breinigsville, PA 18031-1298
Phone
(917) 709-3762
NPI assigned
Feb 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 296980-1 NY Primary
Licensed Practical Nurse 164W00000X PN261218L PA

Addresses

Primary practice location

8715 Pathfinder Rd
Breinigsville, PA 18031-1298

Mailing address

8715 Pathfinder Rd
Breinigsville, PA 18031-1298
Phone (917) 709-3762

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
296980-1NYMDLicensed Practical Nurse
PN261218LPAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1104365337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 PATHFINDER RD",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311298",
            "telephone_number": "917-709-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 PATHFINDER RD",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311298",
            "telephone_number": "917-709-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESCHL",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "296980-1",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN261218L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breinigsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.