Individual provider Active NPI

Kaniesha (Niesha) Rashelle Taylor, LPN-IP

  • Licensed Practical Nurse
  • New Haven, CT
National Provider Identifier
1750085262
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
029574 Issued in CT
Practice address
118 Clinton Ave
New Haven, CT 06513-3199
Phone
(203) 562-7222
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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 029574 CT Primary

Addresses

Primary practice location

118 Clinton Ave
New Haven, CT 06513-3199

Mailing address

118 Clinton Ave
New Haven, CT 06513-3100
Phone (203) 562-7222

Other practice location 1

133 Belden Rd
Hamden, CT 06514-3741
Phone (203) 440-5578

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
029574CTMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1750085262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CLINTON AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133100",
            "telephone_number": "203-562-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CLINTON AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133199",
            "telephone_number": "203-562-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Belden Rd",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065143741",
            "country_code": "US",
            "telephone_number": "203-440-5578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KANIESHA (NIESHA)",
        "middle_name": "RASHELLE",
        "credential": "LPN-IP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "029574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.