Theodore Stanton Kaiser III, RN, CDOE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN32575 Issued in RI

Practice address

530 N Main St
Providence, RI 02904-5762

Phone

(401) 415-9500

Fax

(401) 415-9515

NPI assigned

Aug 11, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144606369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055010",
            "telephone_number": "401-444-0400",
            "fax_number": "401-444-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045762",
            "telephone_number": "401-415-9500",
            "fax_number": "401-415-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "THEODORE",
        "middle_name": "STANTON",
        "name_suffix": "III",
        "credential": "RN, CDOE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "32575",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "RI",
            "license": "RN32575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163W00000X",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Kahn, MD (AS OF MAY 2019)
• David A Kahn, MD
• Katherine Byron Kahr, LICSW MSW
• Aaron Kaiser, PH.D.
• Melissa Kaiser, PA-C
• Theodore Stanton Kaiser IV
• Mustafa Kaisi
• Pamela Kaitin-Miller, MSW
• Nicholas James Kakos, MD
• Jerome Kalifa, MD

• Diabetes Educator Registered Nurse in Providence, RI
• Providers in Providence, RI by specialty
• Diabetes Educator Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.