Active NPI
Kimberly Ann St.Andre, RN
- Registered Nurse
- Pascoag, RI
National Provider Identifier
1568566263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN33627
- Practice address
- 36 Bridge Way
Pascoag, RI 02859-3131 - Phone
- (401) 568-7661
- Fax
- (401) 568-7949
- NPI assigned
- Sep 12, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN33627 | RI | Primary |
Addresses
Primary practice location
36 Bridge Way
Pascoag, RI 02859-3131
Mailing address
15 Oak Valley Lane
Harrisville, RI 02830
Phone (401) 678-0142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN 33627 | Other | RI | STATE LICENSE |
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 |
|---|---|---|---|
| RN33627 | RI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568566263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 OAK VALLEY LANE",
"city": "HARRISVILLE",
"state": "RI",
"postal_code": "02830",
"telephone_number": "401-678-0142",
"fax_number": "401-568-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BRIDGE WAY",
"city": "PASCOAG",
"state": "RI",
"postal_code": "028593131",
"telephone_number": "401-568-7661",
"fax_number": "401-568-7949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST.ANDRE",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN33627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RN 33627",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pascoag, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.