Individual provider Active NPI

Mona Lorna Kerins, REGISTERED NURSE

  • Addiction (Substance Use Disorder) Registered Nurse
  • Riverhead, NY
National Provider Identifier
1760727226
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
1891991 Issued in NY
Practice address
300 Center Dr
Riverhead, NY 11901-3393
Phone
(631) 852-2680
Fax
(631) 852-3827
NPI assigned
Dec 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 1891991 NY Primary

Addresses

Primary practice location

300 Center Dr
Riverhead, NY 11901-3393

Mailing address

300 Center Dr
Riverhead, NY 11901-3393
Phone (631) 852-2680

Other names 1

  • Mrs. Mona Lorna Kerins Professional name

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
1891991NYMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1760727226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013393",
            "telephone_number": "631-852-2680",
            "fax_number": "631-852-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013393",
            "telephone_number": "631-852-2680",
            "fax_number": "631-852-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERINS",
        "first_name": "MONA",
        "middle_name": "LORNA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "1891991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "KERINS",
            "middle_name": "LORNA",
            "prefix": "MRS.",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.