Active NPI
Kahsay Haileselassie Abrha
- Licensed Practical Nurse
- Port Chester, NY
National Provider Identifier
1265672919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 263947-1
- Practice address
- 787 King St Nursig Home,Rye Brook
Portchester, NY 10573 - Phone
- (914) 937-5800
- NPI assigned
- Feb 20, 2009
- Last updated
- Feb 20, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 263947-1 | NY | Primary |
Addresses
Primary practice location
787 King St Nursig Home,Rye Brook
Portchester, NY 10573
Mailing address
PO Box 1034
Stamford, CT 06904-1034
Phone (203) 981-1948
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
| License | State | Type | Specialty |
|---|---|---|---|
| 263947-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1265672919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1034",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069041034",
"telephone_number": "203-981-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 KING ST NURSIG HOME,RYE BROOK",
"city": "PORTCHESTER",
"state": "NY",
"postal_code": "10573",
"telephone_number": "914-937-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRHA",
"first_name": "KAHSAY",
"middle_name": "HAILESELASSIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "263947-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.