Active NPI
Kathy Ann Pinckney, LPN
- Licensed Practical Nurse
- Massapequa, NY
National Provider Identifier
1932390614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 249453
- Practice address
- 694 Clocks Blvd
Massapequa, NY 11758 - Phone
- (516) 815-4234
- NPI assigned
- Aug 7, 2007
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 249453 | NY | Primary |
Addresses
Primary practice location
694 Clocks Blvd
Massapequa, NY 11758
Mailing address
694 Clocks Blvd
Mssapequa, NY 11758
Phone (516) 815-4234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01868139 | Medicaid | NY |
Other names 1
- Mrs. Kathy Ann Cleveland
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 |
|---|---|---|---|
| 249453 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1932390614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "694 CLOCKS BLVD",
"city": "MSSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "516-815-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "694 CLOCKS BLVD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "516-815-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCKNEY",
"first_name": "KATHY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "249453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01868139",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "CLEVELAND",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.