Kayron Ragland

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

441328 Issued in NY

Practice address

5006 Avenue L
Brooklyn, NY 11234-3210

Phone

(347) 754-8133

NPI assigned

Sep 10, 2021

Last updated

Sep 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Health and Wellness Club Inc

  • Adolescent Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1841969052
  NPD

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1477222677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343210",
            "telephone_number": "347-754-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343210",
            "telephone_number": "347-754-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGLAND",
        "first_name": "KAYRON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "441328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "441328",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdullah Mohammed Ezzeldine Ragheb, RPH
• Mamandur Raghu, M.D.
• Bibi Raghubir
• Collette Seymoan Ragin, LPN
• Adriana Diane Ragland, LMSW
• Tristan Ragland
• Juna Asilo Rago, PT
• Chaya Ragofsky
• Esperanza C Ragon, MD
• Daniel Ragoo

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.