Active NPI
Kirsline Eugene
- Licensed Practical Nurse
- Brooklyn, NY
National Provider Identifier
1750167763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5265240
- Practice address
- 89 Bartlett St
Brooklyn, NY 11206-4463 - Phone
- (718) 828-2666
- Fax
- (347) 618-3056
- NPI assigned
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5265240 | FL | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
89 Bartlett St
Brooklyn, NY 11206-4463
Mailing address
6794 Park LN E
Lake Worth, FL 33449-6607
Phone (561) 542-7795
Other practice location 1
6794 Park Ln E
Lake Worth, FL 33449-6607
Phone (561) 542-7795
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 |
|---|---|---|---|
| PN5265240 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1750167763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6794 PARK LN E",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334496607",
"telephone_number": "561-542-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 BARTLETT ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112064463",
"telephone_number": "718-828-2666",
"fax_number": "347-618-3056"
}
],
"practiceLocations": [
{
"address_1": "6794 Park Ln E",
"address_purpose": "LOCATION",
"city": "Lake Worth",
"state": "FL",
"postal_code": "334496607",
"country_code": "US",
"telephone_number": "561-542-7795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUGENE",
"first_name": "KIRSLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-05",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5265240",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.