Gillian Lynn Kingsley, RN
Individual provider Active NPI Pediatric Registered Nurse · Bloomfield, NY
NPI 1447531330 · NPPES record last updated Sep 6, 2011
Key facts
- NPI
- 1447531330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- 22648587 (NY)
- Practice address
- 8080 Wesley Rd
Bloomfield, NY 14469-9211 - Phone
- (585) 313-0557
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22648587 | NY | MD | Pediatric Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 22648587 | NY | Yes |
Addresses
Primary practice location
8080 Wesley Rd
Bloomfield, NY 14469-9211
Mailing address
8080 Wesley Rd
Bloomfield, NY 14469-9211
Phone (585) 313-0557
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22648587 | Other | NY | THE UNIVERISTY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT |
Other providers in Bloomfield, NY
- Deedra A Galarneau
- Amanda C Hamilton
- Michele Tousley Havey
- Patricia Marie Jacobs
- Jean Muller Rohland MD
- Adam Lake
- Fern Legters
- Chad Lipovsky
- Marybeth McConnell
- Trudy Ann Miller
All providers in Bloomfield, NY · Pediatric Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.