Active NPI
Kenneth Myers Jr.
- Critical Care Medicine Registered Nurse
- Newtown, PA
National Provider Identifier
1609306224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN290496L
- Practice address
- 73 King Charles Lane
Newtown, PA 18940 - Phone
- (215) 266-3471
- NPI assigned
- Jun 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN290496L | PA | Primary |
Addresses
Primary practice location
73 King Charles Lane
Newtown, PA 18940
Mailing address
73 King Charles LN
Newtown, PA 18940-2312
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN290496L | PA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497484800000",
"number": "1609306224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 KING CHARLES LN",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189402312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 KING CHARLES LANE",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "18940",
"telephone_number": "215-266-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "KENNETH",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-15",
"last_updated": "2017-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "PA",
"license": "RN290496L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
- Kevin William Murawski, D.M.D.
- Valerie Musse, OTR/L
- Anthony Joseph Mustello, PH.D.
- My Balancing Mind LLC
- Karen Elizabeth Myers, OTR/L
- Myeyedr Optometry of Pennsylvania, LLC (MyEyeDr.)
- Myeyedr Optometry of Pennsylvania, LLC (MyEyeDr)
- Nancy Hykel-Malone, M.D. Internal Medicine, Corporation
- Natick Counseling
- Suzanne F Nawrock, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.