Active NPI
Katelynne Meyer, LPN
- Licensed Practical Nurse
- Holbrook, NY
National Provider Identifier
1154794378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 323488
- Practice address
- 1431 Hiram Ave
Holbrook, NY 11741-5734 - Phone
- (631) 416-2329
- NPI assigned
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 323488 | NY | Primary |
Addresses
Primary practice location
1431 Hiram Ave
Holbrook, NY 11741-5734
Mailing address
1431 Hiram Ave
Holbrook, NY 11741-5734
Phone (631) 416-2329
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1154794378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 HIRAM AVE",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117415734",
"telephone_number": "631-416-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 HIRAM AVE",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117415734",
"telephone_number": "631-416-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "KATELYNNE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "323488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.