Look up the most recent NPI and PECOS records

Keia Flagler-Mitchell

Licensed Practical Nurse

Nursing Service Providers

354 Randolph St, Rochester, NY 14609-2108

PECOS Enrollment

Based on the most recent information from CMS, provider Keia Flagler-Mitchell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:33 PM.

Profile Details

Provider ID
1972111227
Provider Type
Individual
Full Name
Flagler-Mitchell, Keia
Credential
LPN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/22/2020
Last Updated
7/23/2020

Contact Information

Practice Location

354 Randolph St, Rochester, NY 14609-2108

(585) 409-8566

Unlisted Fax

Mailing Location

354 Randolph St, Rochester, NY 14609-2108

(585) 409-8566

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 329770 New York

Provider Identifiers

ID	Description	Issuer
ID 329770	Description Medicaid	Issuer Unlisted New York

Keia Flagler-Mitchell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mcclary, Tatanisha Monique

Bauza, Angela A

Butler, Minnie B

Mercado, Nereida

Colon, Phalon M

Wright, Jicara M

Rosado, Hector Samuel

Walker, Marshall

Carlin, Jacqueline

Parker, Tameka Shaunte