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KAITLIN ELIZABETH ARCHER
NPI 1508390873
Licensed Practical Nurse in Ronkonkoma, NY

Active since April 13, 2017
28 CROYDON AVE, RONKONKOMA, NY 11779(631) 428-6879 Get Directions Write a Review

NPPES record last updated: April 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlin Elizabeth Archer NPPES

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

KAITLIN ELIZABETH ARCHER (NPI 1508390873) is an individual licensed practical nurse in Ronkonkoma, New York, licensed in New York (325513) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1508390873
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKAITLIN ELIZABETH ARCHER
Location Address28 CROYDON AVERonkonkoma, NY 11779-1927
Mailing Address28 Croydon AveRonkonkoma, NY 11779-1927 · (631) 428-6879
Phone(631) 428-6879
Sole ProprietorYes
Enumeration DateApril 13, 2017
✔ NPI 1508390873 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 · 325513
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.
28 CROYDON AVE, Ronkonkoma, NY 11779
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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 Kaitlin Archer's NPI number?

The NPI number for Kaitlin Archer is 1508390873. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Kaitlin Archer located?

Kaitlin Archer practices at 28 Croydon Ave, Ronkonkoma, NY 11779. The listed phone number is (631) 428-6879.

What is Kaitlin Archer'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 Kaitlin Archer was last updated on April 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.