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Khantalee Souvannavong
NPI 1487042560 · Licensed Practical Nurse · Rochester, NY
Khantalee Souvannavong is a Licensed Practical Nurse provider in Rochester, NY (NPI 1487042560).
Provider details
- NPI number
- 1487042560
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 286904-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
185 Country Ln
Rochester, NY 14626-3307
Phone: (585) 749-0292
Street-level locationGet directions
Mailing address
185 Country Ln
Rochester, NY 14626-3307
Registry dates
- Enumerated
- 2014-12-25
- Last updated
- 2014-12-25
Frequently asked questions
- What is Khantalee Souvannavong's NPI number?
- Khantalee Souvannavong's National Provider Identifier (NPI) is 1487042560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khantalee Souvannavong's specialty?
- Khantalee Souvannavong is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Khantalee Souvannavong located?
- Khantalee Souvannavong's practice location on file with NPPES is 185 Country Ln, Rochester, NY 14626-3307.
- What is Khantalee Souvannavong's phone number?
- The practice phone number listed in the NPPES registry for Khantalee Souvannavong is (585) 749-0292.
- Is Khantalee Souvannavong's NPI active?
- Yes — Khantalee Souvannavong's NPI (1487042560) is active in the NPPES registry as of the last update on 2014-12-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.