Nunichu B Kingsley, LPN,RN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

305544 Issued in NY

Practice address

846 E 214TH St
Apt-4B
Bronx, NY 10467-5914

Phone

(718) 671-2100

NPI assigned

Jun 1, 2011

Sex

Male

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1114211646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 E 214TH ST",
            "address_2": "APT-4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675914",
            "telephone_number": "718-671-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 E 214TH ST",
            "address_2": "APT-4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675914",
            "telephone_number": "718-671-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "NUNICHU",
        "middle_name": "B",
        "credential": "LPN,RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "305544",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "672702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingsbridge Medical Services, PLLC
• Kingsbridge Optometric Eye Care P.C.
• Kingsbridge Pharmacy Corp
• Kingsbridge Pharmacy RX Corp.
• Kingscross Children Therapy and Autism Services
• Kingsway Med LLC
• Jyoti Kini, MD
• Milan Kinkhabwala, MD
• Doreva R Kinlaw, ESTHETICIAN
• Merritt Drew Kinon, MD

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.