Individual provider Active NPI

Ketsia Molien, LPN

  • Licensed Practical Nurse
  • Jamaica, NY
National Provider Identifier
1477815785
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
295208-1 Issued in NY
Practice address
18501 Hillside Ave Apt 4E
Jamaica, NY 11432-4801
Phone
(347) 248-0248
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 295208-1 NY Primary

Addresses

Primary practice location

18501 Hillside Ave Apt 4E
Jamaica, NY 11432-4801

Mailing address

18501 Hillside Ave Apt 4E
Jamaica, NY 11432-4801
Phone (347) 248-0248

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
295208-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1477815785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 HILLSIDE AVE APT 4E",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324801",
            "telephone_number": "347-248-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 HILLSIDE AVE APT 4E",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324801",
            "telephone_number": "347-248-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLIEN",
        "first_name": "KETSIA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "295208-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.