Individual provider Active NPI

Davlyn McKeith Jagdeo

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1902212574
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
517196 Issued in NY
Practice address
665 Thwaites PL Apt 5R
Bronx, NY 10467-7908
Phone
(404) 579-8251
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 517196 NY Primary

Addresses

Primary practice location

665 Thwaites PL Apt 5R
Bronx, NY 10467-7908

Mailing address

665 Thwaites PL Apt 5R
Bronx, NY 10467-7908
Phone (404) 579-8251

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
517196NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore County Maryland Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1902212574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 THWAITES PL APT 5R",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677908",
            "telephone_number": "404-579-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 THWAITES PL APT 5R",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677908",
            "telephone_number": "404-579-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEITH JAGDEO",
        "first_name": "DAVLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "517196",
            "primary": true
        }
    ],
    "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 Apr 6, 2025; 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.