Individual provider Active NPI

Carolyn Mobley-Kuykendall, APRN, FNP-C, CPNP-AC

  • Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1467670174
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F346211 Issued in NY
Practice address
2715 30TH Ave
Astoria, NY 11102-2445
Phone
(718) 685-2300
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0222X AP136125 TX
Nurse Practitioner 363L00000X F346211 NY Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X F346211 NY
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP136125 TX
Critical Care Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0222X F383143 NY
Nurse Practitioner 363L00000X AP136125 TX

Addresses

Primary practice location

2715 30TH Ave
Astoria, NY 11102-2445

Mailing address

605 W 42ND St Apt 26R
New York, NY 10036-2080
Phone (214) 505-0363

Other names 1

  • Ms. Carolyn Elizabeth Mobley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211208000142 NY Practitioner - Nurse Practitioner 5890185730 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arcadian Medical Health PCGroup PAC ID 6800388372, 33 clinicians
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians

Practice addresses (Care Compare)

33 Downtown Dr
FL 3
Monsey, NY 10952-3849
Phone (845) 354-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F346211NYMDNurse Practitioner
AP136125TXMDFamily Nurse Practitioner
F383143NYMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Josef Schenker MD PC Multi-Specialty CurrentSince Nov 1, 2021 Accepting new patients

Locations

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1467670174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W 42ND ST APT 26R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362080",
            "telephone_number": "214-505-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022445",
            "telephone_number": "718-685-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY-KUYKENDALL",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C, CPNP-AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "TX",
            "license": "AP136125",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F346211",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346211",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136125",
            "primary": false
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "NY",
            "license": "F383143",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "MOBLEY",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "FNP-C, CPNP-AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.