Individual provider Active NPI

Karenina Marie Slone, RN

  • Medical-Surgical Registered Nurse
  • Port Byron, IL
National Provider Identifier
1508452350
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
041.406182 Issued in IL
Practice address
305 Barber Creek Rd
Port Byron, IL 61275-9200
Phone
(563) 340-4444
NPI assigned
Dec 16, 2020
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 041.406182 IL Primary
Medical-Surgical Registered Nurse 163WM0705X 110201 IA

Addresses

Primary practice location

305 Barber Creek Rd
Port Byron, IL 61275-9200

Mailing address

305 Barber Creek Rd
Port Byron, IL 61275-9200
Phone (563) 340-4444

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
110201IAMDMedical-Surgical Registered Nurse
041.406182ILMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1508452350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BARBER CREEK RD",
            "city": "PORT BYRON",
            "state": "IL",
            "postal_code": "612759200",
            "telephone_number": "563-340-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BARBER CREEK RD",
            "city": "PORT BYRON",
            "state": "IL",
            "postal_code": "612759200",
            "telephone_number": "563-340-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLONE",
        "first_name": "KARENINA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "IL",
            "license": "041.406182",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "IA",
            "license": "110201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Byron, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.