Individual provider Active NPI

Kerri-Ann L Fraser-Aitkens, LPN

  • Licensed Practical Nurse
  • Mount Vernon, NY
National Provider Identifier
1730651746
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
331009 Issued in NY
Practice address
6 George PL
Mount Vernon, NY 10550-4815
Phone
(347) 832-5795
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 331009 NY Primary

Addresses

Primary practice location

6 George PL
Mount Vernon, NY 10550-4815

Mailing address

6 George PL
Mount Vernon, NY 10550-4815
Phone (347) 832-5795

Other identifiers 1

IdentifierTypeStateIssuer
331009OtherNYNURSE LICENSE NUMBER

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

LicenseStateTypeSpecialty
331009NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1730651746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GEORGE PL",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504815",
            "telephone_number": "347-832-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GEORGE PL",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504815",
            "telephone_number": "347-832-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER-AITKENS",
        "first_name": "KERRI-ANN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "331009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE LICENSE NUMBER",
            "identifier": "331009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.