Individual provider Active NPI

Odette C Kittel, LPN

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1821349879
Registry record updated Sep 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
311816 Issued in NY
Practice address
739 Crown St
Brooklyn, NY 11213-5424
Phone
(347) 319-0249
NPI assigned
Sep 29, 2012
Last updated
Sep 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2012

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 311816 NY Primary

Addresses

Primary practice location

739 Crown St
Brooklyn, NY 11213-5424

Mailing address

739 Crown St
Brooklyn, NY 11213-5424
Phone (347) 319-0249

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
311816NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1348876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348876800000",
    "number": "1821349879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135424",
            "telephone_number": "347-319-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135424",
            "telephone_number": "347-319-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTEL",
        "first_name": "ODETTE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-29",
        "last_updated": "2012-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "311816",
            "primary": true
        }
    ],
    "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 Sep 29, 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.