Olubukola Keshinro

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F339020-1 Issued in NY

Practice address

8900 Van Wyck Expy
Jamaica, NY 11418-2832

Phone

(718) 206-7135

Fax

(718) 206-7169

NPI assigned

Apr 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Olubukoa Keshinro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1861888547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22603 147TH AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133822",
            "telephone_number": "917-854-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182832",
            "telephone_number": "718-206-7135",
            "fax_number": "718-206-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHINRO",
        "first_name": "OLUBUKOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339020-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUBUKOA",
            "last_name": "KESHINRO",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Kenyon
• Sheila A Kern, PA-C
• Cassandra Kernisant
• Marie Carmelle Kernizan
• Soraya Veronique Kernizan, D.O.
• Kevin J. Grant D.D.S.,P.C.
• Kew Gardens Medical PC
• Kew Gardens Medical Services PC
• Syeda Keya
• Anya Khaimova

• Family Nurse Practitioner in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.