Active NPI
Jeanette M Kiele, CNA
- Nurse's Aide
- Spokane, WA
National Provider Identifier
1467066449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NC10101976
- Practice address
- 44 E Cozza Dr
Spokane, WA 99208-6514 - Phone
- (509) 325-6800
- NPI assigned
- Sep 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NC10101976 | WA | Primary |
Addresses
Primary practice location
44 E Cozza Dr
Spokane, WA 99208-6514
Mailing address
44 E Cozza Dr
Spokane, WA 99208-6514
Phone (509) 325-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2077844 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC10101976 | WA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1467066449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 E COZZA DR",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086514",
"telephone_number": "509-325-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 E COZZA DR",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086514",
"telephone_number": "509-325-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIELE",
"first_name": "JEANETTE",
"middle_name": "M",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-07",
"last_updated": "2020-09-07",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WA",
"license": "NC10101976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2077844",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.