Jacqueline P Kinsley, MAT, TOD

Primary specialty

SpecialistTaxonomy code 174400000X

License

3902355 Issued in NY

Practice address

2975 Westchester Ave
Purchase, NY 10577-2518

Phone

(914) 305-5345

NPI assigned

Aug 15, 2019

Last updated

Aug 15, 2019By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1619523586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 WESTCHESTER AVE STE 202",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772500",
            "telephone_number": "914-305-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 WESTCHESTER AVE",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772518",
            "telephone_number": "914-305-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSLEY",
        "first_name": "JACQUELINE",
        "middle_name": "P",
        "credential": "MAT, TOD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "3902355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACHER OF THE DEAF AND HARD OF HEARING",
            "identifier": "3902355",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jackie@listeningpartnresny.com",
            "affiliation": "N",
            "endpointDescription": "work",
            "address_1": "2975 Westchester Ave",
            "city": "Purchase",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105772518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Kesh, MD
• Jessica Kim-Vaghela, D.O.
• Arthur Kim, DMD
• Jane Kim, MD
• Soo-Keun Sean Kim, DMD, MD
• Jesse Marie Klein, COTA/L
• Cathleen Mary Kneidl, PHYSICIAN ASSISTANT
• Alfrida Kola, NP
• Soujaniya Konada, PT
• Kalpana Reddy Konda, MD

• Specialist in Purchase, NY
• Providers in Purchase, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.