Kyra Sposato, MS, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400362 Issued in NY

Practice address

12 Mansion Dr
Glen Cove, NY 11542-1006

Phone

(516) 671-3120

Fax

(516) 671-3120

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2012 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHDGAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aurora Concept Inc

  • Substance Abuse Rehabilitation Facility
  • Flushing, NY
  • NPI 1073619839
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598838658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MANSION DR",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421006",
            "telephone_number": "516-671-3120",
            "fax_number": "516-671-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MANSION DR",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421006",
            "telephone_number": "516-671-3120",
            "fax_number": "516-671-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOSATO",
        "first_name": "KYRA",
        "name_prefix": "Ms.",
        "credential": "MS, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Martin Speiser, D.C.
• Celeste Spencer-Holmes
• Dana Sperber, LCSW
• Theresa Marie Spinello, PH.D., DCSW
• Christina Spitzer, M.D.
• Silvana St Onge, LMSW
• Anne-Marie Starr, MD
• Abraham Stein, D.D.S.
• Mary Stillwagon, L.AC
• Loriann M Stiuso, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.