Individual provider Active NPI

Linda Kwabi

  • Prevention Professional
  • Valley Stream, NY
National Provider Identifier
1457891871
Registry record updated Mar 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
252Y00000X Issued in NY
Practice address
23 Marlow Rd
Valley Stream, NY 11580-3705
Phone
(516) 884-7742
Fax
(516) 561-5358
NPI assigned
Mar 4, 2017
Last updated
Mar 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X 252Y00000X NY Primary

Addresses

Primary practice location

23 Marlow Rd
Valley Stream, NY 11580-3705

Mailing address

23 Marlow Rd
Valley Stream, NY 11580-3705
Phone (516) 884-7742

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

LicenseStateTypeSpecialty
252Y00000XNYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Designing Futures, Inc. Past Accepting new patients
Designing Futures Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488585600000",
    "number": "1457891871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MARLOW RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803705",
            "telephone_number": "516-884-7742",
            "fax_number": "516-561-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MARLOW RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803705",
            "telephone_number": "516-884-7742",
            "fax_number": "516-561-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWABI",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-04",
        "last_updated": "2017-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NY",
            "license": "252Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; 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.