Active NPI
Kianna Carol Veal
- Respite Care
- Philadelphia, PA
National Provider Identifier
1407512015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 54133601
- Practice address
- 2920 N 13TH St
Philadelphia, PA 19133-1327 - Phone
- (215) 866-7094
- NPI assigned
- Nov 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Respite Care | 385H00000X | 54133601 | PA | Primary |
Addresses
Primary practice location
2920 N 13TH St
Philadelphia, PA 19133-1327
Mailing address
2920 N 13TH St
Philadelphia, PA 19133-1327
Phone (215) 866-7094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85-1636081 | Medicaid | PA |
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 |
|---|---|---|---|
| 54133601 | PA | MD | Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1407512015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 N 13TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191331327",
"telephone_number": "215-866-7094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 N 13TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191331327",
"telephone_number": "215-866-7094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEAL",
"first_name": "KIANNA",
"middle_name": "CAROL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "PA",
"license": "54133601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85-1636081",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.