Keavern Kirby

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

421290 Issued in NY

Practice address

942 Brooklyn Ave
Brooklyn, NY 11203-4002

Phone

(347) 419-4919

NPI assigned

Dec 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1255660205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 BROOKLYN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034002",
            "telephone_number": "347-419-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 BROOKLYN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034002",
            "telephone_number": "347-419-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "KEAVERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "289395-1",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Kipping
• Kira Manusis MD, PLLC
• Agnes Clarissa Kirby
• Christina Kirby
• Christopher Kirby
• Kenton Phillip Kirby, LMSW
• Susan Kirby
• Breanna Irene Kircher, LCAT
• Teresa M Kirchner, LICSW
• Tobias Flanders Kirchwey, MD

• Women's Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.