Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kylie Mae Tavernia

Individual provider Nurse's Aide · NPI 1558025775

Kylie Mae Tavernia is a Nurse's Aide in Constable, New York. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

1225 State Route 122
Constable, NY 12926-3006
Phone: (518) 651-0487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 31 6th St, Malone, NY 12953-1246 — (518) 483-3261

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1558025775
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2021
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021