Individual provider Active NPI

Kim Natasha Rampersad, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Queens, NY
National Provider Identifier
1528245172
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
588038 Issued in NY
Practice address
150 26 58TH Ave
Flushing
Queens, NY 11355
Phone
(347) 358-3993
NPI assigned
Jan 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 5880381 NY
Family Nurse Practitioner 363LF0000X 588038 NY Primary

Addresses

Primary practice location

150 26 58TH Ave
Flushing
Queens, NY 11355

Mailing address

10814 72ND Ave Ste 4
Forest Hills, NY 11375-5301
Phone (718) 520-8480

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
5880381NYMDAddiction (Substance Use Disorder) Registered Nurse
588038NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1528245172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10814 72ND AVE STE 4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755301",
            "telephone_number": "718-520-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 26 58TH AVE",
            "address_2": "FLUSHING",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "347-358-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMPERSAD",
        "first_name": "KIM",
        "middle_name": "NATASHA",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "5880381",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "588038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.