Jenus P Hiatt, RN,CDOE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN29086 Issued in RI

Practice address

21 Peace St
Providence, RI 02907-1510

Phone

(401) 456-4325

Fax

(401) 456-4250

NPI assigned

May 17, 2011

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

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1174816698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PINE HILL RD",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192891",
            "telephone_number": "401-439-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PEACE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071510",
            "telephone_number": "401-456-4325",
            "fax_number": "401-456-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "JENUS",
        "middle_name": "P",
        "credential": "RN,CDOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "RI",
            "license": "RN29086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "29086",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane HG Hesser, LCSW
• Nancy Carol Hetherington, LICSW
• Jacob Hettinger, O.D.
• Nadine Sonali Hewamudalige, MD
• Grace Ann Hewett, MD
• Edward Ryan Hickey, P.TX
• Cameron Rishard Hicks, MD
• Deborah Anne Hicks, LCSW
• Domonike A Hicks
• Jeffrey W Higbee, DMD

• 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 May 17, 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.

Verify at the official NPI Registry.