Active NPI
Keri Mulder
- Registered Nurse
- Kingston, NY
National Provider Identifier
1851837207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 630182-1
- Practice address
- 918 Ulster Ave
Kingston, NY 12401 - Phone
- (845) 339-6683
- Fax
- (845) 339-7319
- NPI assigned
- Jan 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 630182-1 | NY | Primary |
Addresses
Primary practice location
918 Ulster Ave
Kingston, NY 12401
Mailing address
69 Main Street Apt D
Highland, NY 12528
Phone (518) 610-1001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 630182-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1851837207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 MAIN STREET APT D",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "12528",
"telephone_number": "518-610-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 ULSTER AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "12401",
"telephone_number": "845-339-6683",
"fax_number": "845-339-7319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULDER",
"first_name": "KERI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "630182-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.