KAITLYNN VESTAL
NPI 1619801677
Licensed Practical Nurse in Medford, NY

Active since June 12, 2026
125 EVERGREEN AVE, MEDFORD, NY 11763(631) 219-4524 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaitlynn Vestal NPPES

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

KAITLYNN VESTAL (NPI 1619801677) is an individual licensed practical nurse in Medford, New York, licensed in New York (354967) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1619801677
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKAITLYNN VESTAL
Location Address125 EVERGREEN AVEMedford, NY 11763-4029
Mailing Address125 Evergreen AveMedford, NY 11763-4029 · (631) 219-4524
Sole ProprietorNo
Enumeration DateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1619801677 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 · 354967
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.

125 EVERGREEN AVE, Medford, NY 11763

Other Providers at the Same Location NPPES

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

Licensed Practical Nurse
125 EVERGREEN AVE
MEDFORD, NY 11763

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 Kaitlynn Vestal's NPI number?

The NPI number for Kaitlynn Vestal is 1619801677. It was assigned to this individual provider in the NPPES registry on June 12, 2026.

Where is Kaitlynn Vestal located?

Kaitlynn Vestal practices at 125 Evergreen Ave, Medford, NY 11763. The listed phone number is (631) 219-4524.

What is Kaitlynn Vestal'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 Kaitlynn Vestal was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.