Krisna Destua

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

543968 Issued in NY

Practice address

56 Leif Blvd
Congers, NY 10920-1312

Phone

(914) 527-3107

NPI assigned

Nov 22, 2022

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1295444826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 LEIF BLVD",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LEIF BLVD",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201312",
            "telephone_number": "914-527-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTUA",
        "first_name": "KRISNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "543968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L. Chiang Licensed Clinical Social Worker, P.C.
• Patricia Carmela Abacan Dela Cruz, PT, DPT
• Christine Suzann Demaio-Krasny, OTR
• Denis Leblang DPM PC
• Natalie Deskin
• Alexa Rose Disilvio, MSN, APRN, FNP
• Elizabeth Donohue
• Maureen K Dowling, OTR
• Hannah Eckstein-Gowans
• Karl Tat-Kuen Eng, O.D.

• Registered Nurse in Congers, NY
• Providers in Congers, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.