Lucille M. Kingston, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

38046462 Issued in NY

Practice address

3580 Sheridan Dr
Amherst, NY 14226-1645

Phone

(716) 362-9730

Fax

(716) 362-9729

NPI assigned

Mar 15, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386778850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021001",
            "telephone_number": "716-362-9730",
            "fax_number": "716-362-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261645",
            "telephone_number": "716-362-9730",
            "fax_number": "716-362-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSTON",
        "first_name": "LUCILLE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "38046462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02501586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha King-Sedwick, LCSW
• Indea B King, DNP, FNP-BC
• Kevin King
• Shannon M King, PSYD
• Khristeena R Kingsley, CNM
• Armen Kirakosyan, M.D.
• Claire Marie Kirby, MA-SLP
• Christone M Kirchman, RPH
• Allyson Laetita Kirk, RPA-C
• Carrie Anne Lee Kirkland, MS. ED., CCC/SLP

• Pediatric Nurse Practitioner in Amherst, NY
• Providers in Amherst, NY by specialty
• Pediatric Nurse Practitioner in New York

• 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.

Verify at the official NPI Registry.