Individual provider Active NPI

Samantha Katherine Kesten, WHNP-BC

  • Women's Health Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1750683868
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421013 Issued in NY
Practice address
6930 Austin St
Forest Hills, NY 11375-4231
Phone
(718) 793-1943
NPI assigned
Nov 22, 2010
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421013 NY Primary

Addresses

Primary practice location

6930 Austin St
Forest Hills, NY 11375-4231

Mailing address

33 Trapping Way
Pleasantville, NY 10570-2523
Phone (914) 424-5812

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
421013NYMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1750683868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TRAPPING WAY",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702523",
            "telephone_number": "914-424-5812",
            "fax_number": "914-741-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754231",
            "telephone_number": "718-793-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTEN",
        "first_name": "SAMANTHA",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.