Individual provider Active NPI

Carolle Kebreau, NURSE PRACTITIONER,

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1659636033
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3369701 Issued in NY
Practice address
760 Broadway - Woodhull Hospital Center
Managed Care Department Room 2B-230
Brooklyn, NY 11206
Phone
(718) 486-2732
Fax
(718) 486-2732
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F3369701 NY Primary

Addresses

Primary practice location

760 Broadway - Woodhull Hospital Center
Managed Care Department Room 2B-230
Brooklyn, NY 11206

Mailing address

760 Broadway, Department of Managed Care Room 2B-230
Attn: Carolle Kebreau, NP - Woodhull Hospital
West Hempstead, NY 11552-1433
Phone (718) 486-2732

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
F3369701NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1659636033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BROADWAY, DEPARTMENT OF MANAGED CARE ROOM 2B-230",
            "address_2": "ATTN: CAROLLE KEBREAU, NP - WOODHULL HOSPITAL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521433",
            "telephone_number": "718-486-2732",
            "fax_number": "718-630-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY - WOODHULL HOSPITAL CENTER",
            "address_2": "MANAGED CARE DEPARTMENT ROOM 2B-230",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-486-2732",
            "fax_number": "718-486-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBREAU",
        "first_name": "CAROLLE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3369701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.