Active NPI
The Vine NP Family Health, PLLC
- Family Nurse Practitioner
- Queens Village, NY
National Provider Identifier
1154078335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- THE VINE NP FAMILY HEALTH, PLLC
- Practice address
- 11358 212TH St
Queens Village, NY 11429-2312 - Phone
- (718) 954-3553
- Fax
- (877) 762-6647
- NPI assigned
- Mar 7, 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
- Kelly Hilaire, FNP
- Title
- Owner
- Phone
- (718) 233-9122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
11358 212TH St
Queens Village, NY 11429-2312
Mailing address
11944 218TH St
Cambria Heights, NY 11411-1911
Phone (718) 954-3553
Other practice location 1
230 Hilton Ave Ste 105
Hempstead, NY 11550-8116
Phone (718) 954-3553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Queens Village, NY
- NPI 1043883572
-
- Family Nurse Practitioner
- Queens Village, NY
- NPI 1710418116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1154078335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11944 218TH ST",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111911",
"telephone_number": "718-954-3553",
"fax_number": "877-762-6647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11358 212TH ST",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114292312",
"telephone_number": "718-954-3553",
"fax_number": "877-762-6647"
}
],
"practiceLocations": [
{
"address_1": "230 Hilton Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Hempstead",
"state": "NY",
"postal_code": "115508116",
"country_code": "US",
"telephone_number": "718-954-3553",
"fax_number": "877-762-6647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE VINE NP FAMILY HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-07",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "HILAIRE",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-233-9122",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.