Laetitia Kavanaght, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

348799 Issued in NY

Practice address

15 Bronxville Rd Apt 2F
Bronxville, NY 10708-6134

Phone

(914) 433-3735

NPI assigned

Nov 9, 2021

Last updated

Nov 9, 2021By 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

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

Medicare enrollment (NPD)

Enrolled

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": "1477219020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRONXVILLE RD APT 2F",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086134",
            "telephone_number": "914-433-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRONXVILLE RD APT 2F",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086134",
            "telephone_number": "914-433-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGHT",
        "first_name": "LAETITIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "348799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny A. Kanganis, D.D.S.
• Marcin K Karcz, M.D., MSC
• Deborah Karol-Diamond, OTR
• Jamie Karpf
• Arlene Katzenberg, PHD
• Denise Kearney, MSPT
• Matthew Ryan Kearney, MD
• Elizabeth Keating, P.N.P.
• Jennifer Kelly, PSYD
• Tamara Kendsersky, RPH

• Nurse Practitioner in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Nurse Practitioner in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.