Kecha L. Drysdale-Bernard

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F335885-01 Issued in NY

Practice address

11121 197TH St
Saint Albans, NY 11412-2109

Phone

(718) 710-8609

NPI assigned

Oct 20, 2025

Last updated

Oct 20, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1174490783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 197TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122109",
            "telephone_number": "718-710-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 197TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122109",
            "telephone_number": "718-710-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYSDALE-BERNARD",
        "first_name": "KECHA",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F335885-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jasmine L. Eaglin, M.S., CCC-SLP, TSSLD

• Nurse Practitioner in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.