Kim Marie Violette, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN68501 Issued in ME

Practice address

1604 Benton Ave
Benton, ME 04901-3334

Phone

(207) 453-4708

NPI assigned

Apr 29, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1053932152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GOODWIN LN",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049764236",
            "telephone_number": "207-399-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 BENTON AVE",
            "city": "BENTON",
            "state": "ME",
            "postal_code": "049013334",
            "telephone_number": "207-453-4708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Goodwin Ln",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049764236",
            "country_code": "US",
            "telephone_number": "207-399-4074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIOLETTE",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "ME",
            "license": "RN68501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie M Walsh, RN

• All providers in Benton, ME
• Home Health Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.