Individual provider Active NPI

Jayne Ann Poole, RN

  • School Registered Nurse
  • Anderson, IN
National Provider Identifier
1366323974
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
28093158A Issued in IN
Practice address
3124 E 10TH St
Anderson, IN 46012-4509
Phone
(765) 641-2103
Fax
(765) 641-2167
NPI assigned
Sep 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 28093158A IN Primary

Addresses

Primary practice location

3124 E 10TH St
Anderson, IN 46012-4509

Mailing address

2300 Lindberg Rd
Anderson, IN 46012-3148
Phone (765) 641-2047

Other practice location 1

4610 S Madison Ave
Anderson, IN 46013-1316
Phone (765) 641-2037 ext. 8

Other practice location 2

2300 Lindberg Rd
Anderson, IN 46012-3148
Phone (765) 641-2047 ext. 82

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
28093158AINMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1366323974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LINDBERG RD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460123148",
            "telephone_number": "765-641-2047",
            "fax_number": "765-641-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 E 10TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124509",
            "telephone_number": "765-641-2103",
            "fax_number": "765-641-2167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 S Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460131316",
            "country_code": "US",
            "telephone_number": "765-641-2037 x8",
            "fax_number": "765-641-2041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Lindberg Rd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460123148",
            "country_code": "US",
            "telephone_number": "765-641-2047 x82",
            "fax_number": "765-641-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "JAYNE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "IN",
            "license": "28093158A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.