Active NPI
Jayne Ann Poole, RN
- School Registered Nurse
- Anderson, IN
National Provider Identifier
1366323974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 28093158A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28093158A | IN | MD | School 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.