Kim Mente, RN
Individual provider Active NPI Registered Nurse · Tipton, IA
NPI 1124550116 · NPPES record last updated Mar 30, 2017
Key facts
- NPI
- 1124550116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 102457 (IA)
- Practice address
- 400 Cedar St
Tipton, IA 52772-1748 - Phone
- (563) 886-2226
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102457 | IA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 102457 | IA | Yes |
Addresses
Primary practice location
400 Cedar St
Tipton, IA 52772-1748
Mailing address
400 Cedar St
Tipton, IA 52772-1748
Phone (563) 886-2226
Other providers in Tipton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.