Active NPI
Emma J Keppel, ANP
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1356482715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F302260-1
- Practice address
- 1111 Amsterdam Ave
New York
New York, NY 10025-1716 - Phone
- (212) 636-3400
- Fax
- (212) 636-3297
- NPI assigned
- Feb 9, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F302260-1 | NY | Primary |
Addresses
Primary practice location
1111 Amsterdam Ave
New York
New York, NY 10025-1716
Mailing address
116 44 168 Street
St. Alban'S
New York, NY 11434
Phone (917) 399-1345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F302260-1 | Other | NY | LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F302260-1 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356482715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 44 168 STREET",
"address_2": "ST. ALBAN'S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11434",
"telephone_number": "917-399-1345",
"fax_number": "212-636-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"address_2": "NEW YORK",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "212-636-3400",
"fax_number": "212-636-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPPEL",
"first_name": "EMMA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F302260-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "F302260-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.