Active NPI
Kayla Lovelace
- Art Therapist
- Wantagh, NY
National Provider Identifier
1902528953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 1871 Village LN S
Wantagh, NY 11793-3230 - Phone
- (516) 306-2177
- NPI assigned
- Sep 15, 2022
- 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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | Primary |
Addresses
Primary practice location
1871 Village LN S
Wantagh, NY 11793-3230
Mailing address
1871 Village LN S
Wantagh, NY 11793-3230
Other names 1
- Kayla Mozdzanowski
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1902528953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1871 VILLAGE LN S",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1871 VILLAGE LN S",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933230",
"telephone_number": "516-306-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELACE",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "MOZDZANOWSKI",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.