Keri Michelle Constable, LPN
Individual provider Active NPI Licensed Practical Nurse · Cherry Valley, NY
NPI 1508417890 · NPPES record last updated Sep 27, 2019
Key facts
- NPI
- 1508417890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 331466 (NY)
- Practice address
- 63 Montgomery St
Cherry Valley, NY 13320-3563 - Phone
- (785) 307-3962
- NPI assigned
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331466 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 331466 | NY | Yes |
Addresses
Primary practice location
63 Montgomery St
Cherry Valley, NY 13320-3563
Mailing address
PO Box 214
Cherry Valley, NY 13320-0214
Phone (785) 307-3962
Other names
- Keri Michelle Schrump
Other providers in Cherry Valley, NY
- Cynthia V Campbell
- Cherry Valley Fire Department, Emergency Squad
- Cherry Valley-Springfield Central School
- Brandon Michael Colandrea
- Fredriksen Mental Health Counseling PC
- Jaclyn Carol Fredriksen
- Rachael E Geyer
- Kathleen M Junick
- Maureen Kuhn
All providers in Cherry Valley, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.