Jeannine St Paul, RN

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

075-0469-H Issued in GA

Practice address

300 Lester Mill Rd
Locust Grove, GA 30248-5306

Phone

(678) 601-5667

NPI assigned

Oct 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Villon Family Hospice

  • Hospice Registered Nurse
  • Locust Grove, GA
  • NPI 1508402330
  NPD

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1366084626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LESTER MILL RD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302485306",
            "telephone_number": "678-601-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LESTER MILL RD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302485306",
            "telephone_number": "678-601-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST PAUL",
        "first_name": "JEANNINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "GA",
            "license": "075-0469-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mailbox",
            "affiliation": "N",
            "address_1": "300 Lester Mill Rd",
            "city": "Locust Grove",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302485306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Hospice Registered Nurse in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Hospice Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.