Organization Active NPI

Kinfolk Advanced Illness Nurse Practitioners

  • Family Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1356821508
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00818500 Issued in NJ
Legal business name
KINFOLK ADVANCED ILLNESS NURSE PRACTITIONERS
Practice address
16 Eastwood St
East Orange, NJ 07017
Phone
(973) 592-6181
Fax
(888) 816-4307
NPI assigned
Aug 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Rakiyah Jones, FNP-BC
Title
Nurse Practitioner/Owner
Phone
(973) 592-6181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 26NJ00818500 NJ Primary

Addresses

Primary practice location

16 Eastwood St
East Orange, NJ 07017

Mailing address

16 Eastwood St
East Orange, NJ 07017-2013
Phone (973) 592-6181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1356821508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 EASTWOOD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172013",
            "telephone_number": "973-592-6181",
            "fax_number": "888-816-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 EASTWOOD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07017",
            "telephone_number": "973-592-6181",
            "fax_number": "888-816-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINFOLK ADVANCED ILLNESS NURSE PRACTITIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RAKIYAH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "973-592-6181",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00818500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.