Individual provider Active NPI

Gerene Roberta Kinkaid, RN

  • Registered Nurse
  • Saint Paul, MN
National Provider Identifier
1184876401
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
114354-2 Issued in MN
Practice address
1148 Grand Ave
Saint Paul, MN 55105-2628
Phone
(651) 690-5352
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 114354-2 MN Primary

Addresses

Primary practice location

1148 Grand Ave
Saint Paul, MN 55105-2628

Mailing address

1148 Grand Ave
Saint Paul, MN 55105-2628
Phone (651) 690-5352

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

LicenseStateTypeSpecialty
114354-2MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeycare, Inc. Home Health Care Agency Past Accepting new patients
Abbeycare, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1184876401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052628",
            "telephone_number": "651-690-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052628",
            "telephone_number": "651-690-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINKAID",
        "first_name": "GERENE",
        "middle_name": "ROBERTA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "114354-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.