Active NPI
Michele L Kadenko-Monirian, APRN-CNS AGCNS-BC
- Gerontology Clinical Nurse Specialist
- Fort Wayne, IN
National Provider Identifier
1467197319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 28117213A
- Practice address
- 2200 Randallia Dr
Fort Wayne, IN 46805-4699 - Phone
- (260) 312-5083
- NPI assigned
- May 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Clinical Nurse Specialist | 364SC0200X | 2811713A | IN | |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 28117213A | IN | Primary |
Addresses
Primary practice location
2200 Randallia Dr
Fort Wayne, IN 46805-4699
Mailing address
14522 Waterbrook Rd
Fort Wayne, IN 46814-9141
Phone (260) 312-5083
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michele.kadenko-monirian@parkview.com | Direct |
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 |
|---|---|---|---|
| 2811713A | IN | MD | Critical Care Medicine Clinical Nurse Specialist |
| 28117213A | IN | MD | Gerontology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1467197319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14522 WATERBROOK RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468149141",
"telephone_number": "260-312-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 RANDALLIA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054699",
"telephone_number": "260-312-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADENKO-MONIRIAN",
"first_name": "MICHELE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "APRN-CNS AGCNS-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-04",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "364SC0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Critical Care Medicine",
"state": "IN",
"license": "2811713A",
"primary": false
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "IN",
"license": "28117213A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michele.kadenko-monirian@parkview.com",
"affiliation": "N",
"endpointDescription": "professional email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2200 Randallia Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468054699",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.