Nicole Leticia Kemp, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

307205 Issued in NY

Practice address

10 Revere PL
Brooklyn, NY 11213-1586

Phone

(718) 756-0892

NPI assigned

Oct 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beth Israel Medical

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1871878827
  NPD (past) Authorized official

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1184908527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 REVERE PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131586",
            "telephone_number": "718-756-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 REVERE PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131586",
            "telephone_number": "718-756-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "NICOLE",
        "middle_name": "LETICIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "307205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "307205",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Kemelman, PA-C
• Kemi Abdul NP in Psychiatry PLLC
• Gene Kemmer
• Tarneesha Kemp Campbell
• Georgina Kemp, BCBA, LBA-NY
• Whitney Rose Kemp, LMSW
• Elizabeth Kempa, DENTIST DDS
• Therese Katharina Kempf, LCSW
• Adva Kenan
• Sally Kenawy, M.D.

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.