Faradine Kebreau

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

321383 Issued in NY

Practice address

2440 7TH St
East Meadow, NY 11554-3138

Phone

(516) 590-4832

NPI assigned

Jan 4, 2021

Sex

Female

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

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1518555705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 7TH ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543138",
            "telephone_number": "516-590-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 7TH ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543138",
            "telephone_number": "516-590-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBREAU",
        "first_name": "FARADINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "321383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0521",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaiza Kausar, MA
• Susan Kay
• Eman Kazi, MD
• Andrea M Kearney, LMT
• Tersit Kebede, RN
• Cengiz Cagdas Kekilli, M.D.
• Kim L Kelaher
• Carol Lee Kellerman, M.S.
• Clare Ann Kelly, M.D.
• Kyle Kelschenbach, MD

• Licensed Practical Nurse in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.