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Kettly St Surin, LPN
NPI 1922320738 · Licensed Practical Nurse · Queens Village, NY
Kettly St Surin, LPN is a Licensed Practical Nurse provider in Queens Village, NY (NPI 1922320738).
Provider details
- NPI number
- 1922320738
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 215736 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
22121 Jamaica Ave
Queens Village, NY 11428-2015
Phone: (917) 882-3745
Street-level locationGet directions
Mailing address
22121 Jamaica Ave
Queens Village, NY 11428-2015
Registry dates
- Enumerated
- 2010-02-20
- Last updated
- 2016-10-31
Frequently asked questions
- What is Kettly St Surin's NPI number?
- Kettly St Surin's National Provider Identifier (NPI) is 1922320738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kettly St Surin's specialty?
- Kettly St Surin is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Kettly St Surin located?
- Kettly St Surin's practice location on file with NPPES is 22121 Jamaica Ave, Queens Village, NY 11428-2015.
- What is Kettly St Surin's phone number?
- The practice phone number listed in the NPPES registry for Kettly St Surin is (917) 882-3745.
- Is Kettly St Surin's NPI active?
- Yes — Kettly St Surin's NPI (1922320738) is active in the NPPES registry as of the last update on 2016-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.