Individual provider Active NPI

Shibi Kachappilly

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1821468786
Registry record updated Oct 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339383 Issued in NY
Practice address
295 Knollwood Rd
White Plains, NY 10607-1822
Phone
(914) 989-7600
NPI assigned
Oct 3, 2015
Last updated
Oct 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339383 NY Primary

Addresses

Primary practice location

295 Knollwood Rd
White Plains, NY 10607-1822

Mailing address

151 Jefferson CT
Yorktown Heights, NY 10598-2213
Phone (914) 930-8480

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443830400000",
    "number": "1821468786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 JEFFERSON CT",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982213",
            "telephone_number": "914-930-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 KNOLLWOOD RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071822",
            "telephone_number": "914-989-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHAPPILLY",
        "first_name": "SHIBI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-03",
        "last_updated": "2015-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2015; 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.