Individual provider Active NPI

Kayce E Rametta, LPN

  • Licensed Practical Nurse
  • Johnston City, IL
National Provider Identifier
1497040083
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
043078741 Issued in IL
Practice address
14410 Route 37
Johnston City, IL 62951-3166
Phone
(618) 983-6911
Fax
(618) 983-1619
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 043078741 IL Primary

Addresses

Primary practice location

14410 Route 37
Johnston City, IL 62951-3166

Mailing address

14410 Route 37
Johnston City, IL 62951-3166
Phone (618) 983-6911

Other names 1

  • Kayce E Antonini Former name

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

LicenseStateTypeSpecialty
043078741ILMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1497040083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14410 ROUTE 37",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629513166",
            "telephone_number": "618-983-6911",
            "fax_number": "618-983-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 ROUTE 37",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629513166",
            "telephone_number": "618-983-6911",
            "fax_number": "618-983-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMETTA",
        "first_name": "KAYCE",
        "middle_name": "E",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043078741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYCE",
            "last_name": "ANTONINI",
            "middle_name": "E",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnston City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.