Individual Healthcare Provider
Jacqueline Ingrid Kipp
Provider's NPPES record last updated: November 23, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003410713
- Primary Specialty
- Licensed Practical Nurse
- Practice Location
- Briarwood, New York
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:08 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Licensed Practical Nurse
Nursing Service Providers
An individual 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.
Taxonomy code 164W00000X
Provider-Reported License Information
- Licensed Practical Nurse (New York)
- 204822
Practice Locations
Practice Location
13802 Queens Blvd
Briarwood, New York 11435-2665
Phone: (347) 251-7737
Additional Practice Location
16731 109th Ave
Jamaica, New York 11433-2909
Phone: (347) 251-7737
Record Information
- Enumeration Date
- November 23, 2020
- Provider's NPPES Record Last Updated
- November 23, 2020
- Certification Date
- November 23, 2020
- NPISignal NPPES Dataset
- August 2026
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