Individual provider Active NPI

Kesha Coard

  • Licensed Practical Nurse
  • Spring Valley, NY
National Provider Identifier
1215458070
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
328122-1 Issued in NY
Practice address
40 South Cole Ave
4A
Spring Valley, NY 10977
Phone
(347) 366-3059
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 328122-1 NY Primary

Addresses

Primary practice location

40 South Cole Ave
4A
Spring Valley, NY 10977

Mailing address

40 S Cole Ave Apt 4a
Spring Valley, NY 10977-5427
Phone (347) 366-3059

Other practice location 1

40 S Cole Ave Apt 4A
Spring Valley, NY 10977-5427
Phone (347) 366-3059

Other practice location 2

40 South Cole Ave
4A
Spring Valley, NY 10977
Phone (347) 366-3059

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

State licenses

LicenseStateTypeSpecialty
328122-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215458070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S COLE AVE APT 4A",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775427",
            "telephone_number": "347-366-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SOUTH COLE AVE",
            "address_2": "4A",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "10977",
            "telephone_number": "347-366-3059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 S Cole Ave Apt 4A",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "NY",
            "postal_code": "109775427",
            "country_code": "US",
            "telephone_number": "347-366-3059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 South Cole Ave",
            "address_2": "4A",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "NY",
            "postal_code": "10977",
            "country_code": "US",
            "telephone_number": "347-366-3059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COARD",
        "first_name": "KESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "328122-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.