Active NPI
Adelanke Veronica Kuteyi, LPN
- Licensed Practical Nurse
- Philadelphia, PA
National Provider Identifier
1689029514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN291674
- Practice address
- 1315 Windrim Ave
Philadelphia, PA 19141-2710 - Phone
- (215) 456-2738
- Fax
- (215) 456-2729
- NPI assigned
- Apr 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN291674 | PA | Primary |
Addresses
Primary practice location
1315 Windrim Ave
Philadelphia, PA 19141-2710
Mailing address
135 Kent Rd
Upper Darby, PA 19082-3210
Phone (215) 456-2738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528171790 | Medicaid | PA |
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 |
|---|---|---|---|
| PN291674 | PA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1689029514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 KENT RD",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190823210",
"telephone_number": "215-456-2738",
"fax_number": "215-456-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 WINDRIM AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191412710",
"telephone_number": "215-456-2738",
"fax_number": "215-456-2729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTEYI",
"first_name": "ADELANKE",
"middle_name": "VERONICA",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN291674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528171790",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.