Active NPI
Kim Jardin, RN
- Registered Nurse
- Riverside, RI
National Provider Identifier
1144529363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN47569
- Practice address
- 125 Bay View Ave
Riverside, RI 02915-4955 - Phone
- (401) 438-3706
- NPI assigned
- Mar 28, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN47569 | RI | Primary |
Addresses
Primary practice location
125 Bay View Ave
Riverside, RI 02915-4955
Mailing address
25 Old Blitzkrieg TRL
25 Old Blitzkrieg TRL
Hope Valley, RI 02832-1325
Phone (401) 539-7885
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN47569 | RI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1144529363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 OLD BLITZKRIEG TRL",
"address_2": "25 OLD BLITZKRIEG TRL",
"city": "HOPE VALLEY",
"state": "RI",
"postal_code": "028321325",
"telephone_number": "401-539-7885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BAY VIEW AVE",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029154955",
"telephone_number": "401-438-3706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARDIN",
"first_name": "KIM",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN47569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.