Active NPI
Marinel Kinder, WHNP
- Women's Health Nurse Practitioner
- Waco, TX
National Provider Identifier
1124351309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 509902
- Practice address
- 405 Londonderry Dr Ste 310
Waco, TX 76712-7922 - Phone
- (254) 399-6000
- NPI assigned
- Sep 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 509902 | TX | Primary |
Addresses
Primary practice location
405 Londonderry Dr Ste 310
Waco, TX 76712-7922
Mailing address
905 Chapparal Rd
Hewitt, TX 76643-3616
Phone (254) 666-2017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252195200000",
"number": "1124351309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 CHAPPARAL RD",
"city": "HEWITT",
"state": "TX",
"postal_code": "766433616",
"telephone_number": "254-666-2017",
"fax_number": "254-666-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 LONDONDERRY DR STE 310",
"city": "WACO",
"state": "TX",
"postal_code": "767127922",
"telephone_number": "254-399-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDER",
"first_name": "MARINEL",
"name_prefix": "Mrs.",
"credential": "WHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-06",
"last_updated": "2009-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "509902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.