- Practice location
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone
- 718-920-4321
- Fax
- —
- Last updated
- October 26, 2022
Keitha Gayle Reckord is a Nurse Practitioner, Family based in Bronx, NY. Keitha Gayle Reckord practices in Bronx, NY and has the professional credentials of MSN, APRN, FNP-BC. The NPI Number for Keitha Gayle Reckord is 1225757859 and holds a License No. 349591 (NY). The current practice location address for Keitha Gayle Reckord is 111 E 210TH St, Bronx, NY 10467-2401 and can be reached out via phone at 718-920-4321.
Provider Profile Details
- NPI Number
- 1225757859
- Provider Name
- Keitha Gayle Reckord
- Credential
- MSN, APRN, FNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone Number
- 718-920-4321
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 25, 2022
- Last Update Date
- October 26, 2022
- Certification Date
- October 26, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 E 210TH St
Bronx, NY 10467-2401 - City
- Bronx
- State
- New York
- Zip
- 10467-2401
- Phone Number
- 718-920-4321
Provider Business Mailing Address Details
- Address
- 1 Pin Oak Ln
Ansonia, CT 06401-2731 - City
- Ansonia
- State
- CT
- Zip
- 06401-2731
- Phone Number
- 718-559-7497
License Information
- License Number (1)
- 349591
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- 349591
- License State (2)
- NY
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Keitha G Reckord, MSN, APRN, FNP-BC?
The NPI number of Mrs. Keitha G Reckord, MSN, APRN, FNP-BC is 1225757859. It was assigned on August 25, 2022 and is currently active in the NPPES registry.
What is the specialty of Mrs. Keitha G Reckord, MSN, APRN, FNP-BC?
Mrs. Keitha G Reckord, MSN, APRN, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 349591.
Where does Mrs. Keitha G Reckord, MSN, APRN, FNP-BC practice?
The practice location is 111 E 210TH St, Bronx, NY 10467-2401. The office can be reached at 718-920-4321 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225757859 directly on the NPPES registry website.