KC Healthcare Services Family Health Nurse Practitioner PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KC HEALTHCARE SERVICES FAMILY HEALTH NURSE PRACTITIONER PLLC

Practice address

567 Miller Ave
Freeport, NY 11520-6310

Phone

(917) 548-8917

NPI assigned

Aug 30, 2022

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Scott

Title

Credtailing Specialist

Phone

(407) 797-5958

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1144940131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 MILLER AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115206310",
            "telephone_number": "917-548-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 MILLER AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115206310",
            "telephone_number": "917-548-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC HEALTHCARE SERVICES FAMILY HEALTH NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CREDTAILING SPECIALIST",
        "authorized_official_telephone_number": "407-797-5958"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Kassan, LCSW
• Elizabeth Katz
• Kiranjot Kaur, DDS
• Prabhjot Kaur, PHARMD
• Simranjit Kaur, DDS
• Linda M Kelly, RN
• Samuel H Kelman, D.O.
• Bernadina Kerasiotis, NPP PSYD
• Tammilee K Kerr, RDN
• Kids Sprouts Corp.

• Family Nurse Practitioner in Freeport, NY
• Providers in Freeport, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.