Keisha Kennesha Lopez

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

320663-1 Issued in NY

Practice address

13 South St Ste 1
Norwalk, CT 06854-2660

Phone

(203) 434-5211

Fax

(203) 354-5702

NPI assigned

Feb 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 2

Addresses

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1992196208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SOUTH ST, APT 1",
            "city": "NORWLK",
            "state": "CT",
            "postal_code": "06854",
            "telephone_number": "203-434-5211",
            "fax_number": "203-354-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SOUTH ST STE 1",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542660",
            "telephone_number": "203-434-5211",
            "fax_number": "203-354-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KEISHA",
        "middle_name": "KENNESHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "038954",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "320663-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Logel, MSN, PMHNP-BC, FNP
• Samantha Loraine Loglisci
• David Lomnitz, M.D.
• Madeline Londo, OTR/L, CLT
• Jennifer M Long, APRN
• Lindsey Loren, PT, DPT
• Lori Pace LLC
• Aymeric E. Louit, MD
• Fernando Louzada Strufaldi, M.D.
• Loving Presence Therapy LLC

• Licensed Practical Nurse in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Licensed Practical Nurse in Connecticut

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