Organization Active NPI

Kdagenesis

  • Early Intervention Provider Agency
  • Bronx, NY
National Provider Identifier
1548491020
Registry record updated Aug 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
KDAGENESIS
Practice address
2244 Bronx Park E Apt 5K
Bronx, NY 10467-7517
Phone
(917) 678-3999
NPI assigned
Aug 2, 2009
Last updated
Aug 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2009

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

Authorized official

Name
Ms. Kathleen Isabelle Mae Davis
Title
Speech/Language Therapist
Phone
(917) 678-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

2244 Bronx Park E Apt 5K
Bronx, NY 10467-7517

Mailing address

2244 Bronx Park E Apt 5K
Bronx, NY 10467-7517
Phone (718) 944-4369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249171200000",
    "number": "1548491020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 BRONX PARK E APT 5K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677517",
            "telephone_number": "718-944-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 BRONX PARK E APT 5K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677517",
            "telephone_number": "917-678-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDAGENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-02",
        "last_updated": "2009-08-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ISABELLE MAE",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE THERAPIST",
        "authorized_official_telephone_number": "917-678-3999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2009; 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.