Individual provider Active NPI

Kaija Barclay, LPN

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1831438191
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
310685 Issued in NY
Practice address
2418 Olinville Ave
Apt 2a
Bronx, NY 10467-7621
Phone
(718) 717-4254
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 310685 NY Primary
Licensed Practical Nurse 164W00000X 37482 CT

Addresses

Primary practice location

2418 Olinville Ave
Apt 2a
Bronx, NY 10467-7621

Mailing address

2418 Olinville Ave
Apt 2a
Bronx, NY 10467-7621
Phone (718) 717-4254

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
37482CTMDLicensed Practical Nurse
310685NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1831438191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 OLINVILLE AVE",
            "address_2": "APT 2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677621",
            "telephone_number": "718-717-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 OLINVILLE AVE",
            "address_2": "APT 2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677621",
            "telephone_number": "718-717-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "KAIJA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310685",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "37482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.