Rugiatu Kailie

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP029151 Issued in PA

Practice address

607 Rose St
Yeadon, PA 19050-3311

Phone

(267) 679-1958

NPI assigned

Jan 25, 2024

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Female

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

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1164284121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 ROSE ST",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 ROSE ST",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503311",
            "telephone_number": "267-679-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILIE",
        "first_name": "RUGIATU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SPO29151",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jainny Home Care Solution LLC
• Jamesr. Smith MD PC
• Eunjin Elena Jeong, NP
• Natalie Jordan
• JTK Healthcare & Human Services LLC (JTK Healthcare & Human Services)
• Amara M Kamara
• Marie Kamara, PMHNP
• Mohamed Majid Kamara, CPHARMT
• Alimatu Kargbo, LPN
• William T. Kassabian Sr.

• Family Nurse Practitioner in Yeadon, PA
• Providers in Yeadon, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.