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MS. KERSTIN L BOURGEOIS LPN
NPI 1013044387
Licensed Practical Nurse in Central Square, NY

Active since February 27, 2007
98 PARADISE RD, CENTRAL SQUARE, NY 13036(315) 668-2253 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kerstin L Bourgeois Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KERSTIN L BOURGEOIS LPN (NPI 1013044387) is an individual licensed practical nurse in Central Square, New York, licensed in New York (282586-1) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1013044387
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. KERSTIN L BOURGEOISCredential: LPN
Location Address98 PARADISE RDCentral Square, NY 13036-2253
Mailing Address362 S Railroad St, P.o. Box 495Parish, NY 13131-3370 · (315) 625-7275
Phone(315) 668-2253
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1013044387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 282586-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
98 PARADISE RD, Central Square, NY 13036
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Other Identifiers 1

Medicaid02749728NY

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RITA MARIE BURTON LPN
Licensed Practical Nurse
98 PARADISE RD
CENTRAL SQUARE, NY 13036
Oswego County (315) 668-2253
AMANDA MARIE PUGH
Registered Nurse
98 PARADISE RD
CENTRAL SQUARE, NY 13036
Oswego County (315) 668-2253
JANET ZIMMERMAN
Licensed Practical Nurse
98 PARADISE RD
CENTRAL SQUARE, NY 13036
Oswego County (315) 668-2253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerstin Bourgeois's NPI number?

The NPI number for Kerstin Bourgeois is 1013044387. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Kerstin Bourgeois located?

Kerstin Bourgeois practices at 98 Paradise Rd, Central Square, NY 13036. The listed phone number is (315) 668-2253.

What is Kerstin Bourgeois's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kerstin Bourgeois was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.