Kind Compassionate Relief KCR

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KIND COMPASSIONATE RELIEF KCR

Practice address

925 Sullivan Ave Ste 2
South Windsor, CT 06074-2080

Phone

(201) 982-3828

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Khushboo Surti, APRNNPI 1942815782

Title

Nurse Practitioner

Phone

(201) 982-3828

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khushboo Surti, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • South Windsor, CT
  • NPI 1942815782
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1255053971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SULLIVAN AVE STE 2",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742080",
            "telephone_number": "201-982-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SULLIVAN AVE STE 2",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742080",
            "telephone_number": "201-982-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND COMPASSIONATE RELIEF KCR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "SURTI",
        "authorized_official_first_name": "KHUSHBOO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "201-982-3828",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Valent",
            "affiliation": "N",
            "address_1": "925 Sullivan Ave",
            "city": "South Windsor",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060742025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Navneet Kaur, APRN, FNP-BC
• Kara Greenleat Keeton, M.D.
• Collette Keise
• Mohammad Abbas Khan, DMD
• Muhammad Riaz Khan, M.D.
• Jessica King, O.D.
• Lisa Moriarty Kirschner, NP
• Jeanne Leavey Kmetz, LPC, MA
• Knights Touch LLC
• Valerie M. Knorr, M.A.

• Psychiatric/Mental Health Nurse Practitioner in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.