IndividualActive
Ketevan Mikautadze
NPI 1700766656 · School Registered Nurse · Long Island City, NY
Ketevan Mikautadze is a School Registered Nurse provider in Long Island City, NY (NPI 1700766656).
Provider details
- NPI number
- 1700766656
- Entity type
- Individual
- Primary specialty
- School Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 725743 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2811 Queens Plz N
Long Island City, NY 11101-4172
Phone: (718) 391-8300
Street-level locationGet directions
Mailing address
255 Fieldston Ter Apt 3m
Bronx, NY 10471-3064
Registry dates
- Enumerated
- 2025-09-03
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Frequently asked questions
- What is Ketevan Mikautadze's NPI number?
- Ketevan Mikautadze's National Provider Identifier (NPI) is 1700766656, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketevan Mikautadze's specialty?
- Ketevan Mikautadze is listed in the NPPES registry with a primary specialty of School Registered Nurse (Nursing Service Providers).
- Where is Ketevan Mikautadze located?
- Ketevan Mikautadze's practice location on file with NPPES is 2811 Queens Plz N, Long Island City, NY 11101-4172.
- What is Ketevan Mikautadze's phone number?
- The practice phone number listed in the NPPES registry for Ketevan Mikautadze is (718) 391-8300.
- Is Ketevan Mikautadze's NPI active?
- Yes — Ketevan Mikautadze's NPI (1700766656) is active in the NPPES registry as of the last update on 2025-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.