Provider Demographics
NPI:1528245172
Name:RAMPERSAD, KIM NATASHA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MISS
First Name:KIM
Middle Name:NATASHA
Last Name:RAMPERSAD
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:10814 72ND AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5301
Mailing Address - Country:US
Mailing Address - Phone:718-520-8480
Mailing Address - Fax:
Practice Address - Street 1:150 26 58TH AVE
Practice Address - Street 2:FLUSHING
Practice Address - City:QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:347-358-3993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY5880381163WA0400X
NY588038363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)