Active NPI
Kei Acute Care NP Services PC
- Acute Care Nurse Practitioner
- Forest Hills, NY
National Provider Identifier
1134865793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- Legal business name
- KEI ACUTE CARE NP SERVICES PC
- Practice address
- 6712 Yellowstone Blvd
Forest Hills, NY 11375-2353 - Phone
- (347) 886-1583
- NPI assigned
- May 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kattalina Isakov
- Title
- Owner
- Phone
- (347) 886-1583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | Primary |
Addresses
Primary practice location
6712 Yellowstone Blvd
Forest Hills, NY 11375-2353
Mailing address
6712 Yellowstone Blvd
Forest Hills, NY 11375-2353
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655596800000",
"number": "1134865793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6712 YELLOWSTONE BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6712 YELLOWSTONE BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752353",
"telephone_number": "347-886-1583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEI ACUTE CARE NP SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-06",
"last_updated": "2022-06-19",
"certification_date": "2022-06-19",
"status": "A",
"authorized_official_last_name": "ISAKOV",
"authorized_official_first_name": "KATTALINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-886-1583"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.