Kyle J. Lepino, APRN

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

002043 Issued in CT

Practice address

19 S. Walnut St., Ste C
Wauregan, CT 06387

Phone

(860) 207-8160

Fax

(860) 207-8170

NPI assigned

Mar 24, 2009

Last updated

Oct 22, 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 3

Addresses

Other names 1

• Ms. Kyle J. Fuller Professional name

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 Feb 21, 2014 through Feb 21, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Kyle Fuller Aprn LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Wauregan, CT
  • NPI 1821138470

  Family Health

  NPD

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1679715528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S. WALNUT ST., STE C",
            "address_2": "P.O. BOX 530",
            "city": "WAUREGAN",
            "state": "CT",
            "postal_code": "06387",
            "telephone_number": "860-207-8160",
            "fax_number": "860-207-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S. WALNUT ST., STE C",
            "city": "WAUREGAN",
            "state": "CT",
            "postal_code": "06387",
            "telephone_number": "860-207-8160",
            "fax_number": "860-207-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPINO",
        "first_name": "KYLE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CT",
            "license": "002043",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CT",
            "license": "002043",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "002043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "FULLER",
            "middle_name": "J.",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Ann Chokas, LCSW
• Amber Cote, MA, LPC
• Grimetime LLC
• Jennifer Chokas, LCSW, LLC
• Kyle Fuller Aprn LLC
• Corinne Lewis, LCSW
• Wellness at the Farm, LLC
• Alesha Wells, BA

• Psychiatric/Mental Health Clinical Nurse Specialist in Wauregan, CT
• Providers in Wauregan, CT by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.