Latchmi Jasodra Kisto, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

324875 Issued in NY

Practice address

13007 97TH Ave
South Richmond Hill, NY 11419-1515

Phone

(516) 754-2244

NPI assigned

Feb 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1861852444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13007 97TH AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191515",
            "telephone_number": "516-754-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13007 97TH AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191515",
            "telephone_number": "516-754-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTO",
        "first_name": "LATCHMI",
        "middle_name": "JASODRA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "324875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Khizar
• SE H Kim, MD
• Joshua Brian Kimmel, MS
• Ray Michael King, PHARM D.
• Alexander Kintzoglou, MD
• Kathleen Gail Kohut, D.O.
• Betsy Koshy, OTR/L
• Komal Kumar Kukkar, PT
• L. Fernandez Farmacia, Inc
• Avisha Lauren Labban, NP

• Licensed Practical Nurse in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.