Individual provider Active NPI

Kristin Chieco

  • Specialist
  • Seaford, NY
National Provider Identifier
1235588617
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2507451 Issued in NY
Practice address
2464 Abbey LN
Seaford, NY 11783-3509
Phone
(516) 680-4069
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2507451 NY Primary

Addresses

Primary practice location

2464 Abbey LN
Seaford, NY 11783-3509

Mailing address

2464 Abbey LN
Seaford, NY 11783-3509
Phone (516) 680-4069

Other identifiers 1

IdentifierTypeStateIssuer
2507451OtherNYSPECIAL EDUCATION TEACH

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
2507451NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1235588617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 ABBEY LN",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117833509",
            "telephone_number": "516-680-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 ABBEY LN",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117833509",
            "telephone_number": "516-680-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIECO",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2507451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL EDUCATION TEACH",
            "identifier": "2507451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.