Active NPI
Eileen Kilgus-Reid, MS, RN, FNP-BC
- Family Nurse Practitioner
- Commack, NY
National Provider Identifier
1245702059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 341360
- Practice address
- 650 Commack Rd
Commack, NY 11725 - Phone
- (631) 623-4253
- NPI assigned
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 341360 | NY | Primary |
Addresses
Primary practice location
650 Commack Rd
Commack, NY 11725
Mailing address
650 Commack Rd
Commack, NY 11725-5404
Phone (631) 623-4253
Other practice location 1
2A Windsor Pl
Lynbrook, NY 11563-3724
Phone (516) 250-8329
Other practice location 2
2A Windsor Pl
Lynbrook, NY 11563-3724
Phone (516) 250-8329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341360 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1245702059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 COMMACK RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117255404",
"telephone_number": "631-623-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 COMMACK RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "11725",
"telephone_number": "631-623-4253"
}
],
"practiceLocations": [
{
"address_1": "2A Windsor Pl",
"address_purpose": "LOCATION",
"city": "Lynbrook",
"state": "NY",
"postal_code": "115633724",
"country_code": "US",
"telephone_number": "516-250-8329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2A Windsor Pl",
"address_purpose": "LOCATION",
"city": "Lynbrook",
"state": "NY",
"postal_code": "115633724",
"country_code": "US",
"telephone_number": "516-250-8329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILGUS-REID",
"first_name": "EILEEN",
"credential": "MS, RN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "341360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.