Tina Kern, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

096078 Issued in MO

Practice address

1027 Bellevue Ave
Richmond Heights, MO 63117-1851

Phone

(314) 768-8610

NPI assigned

Feb 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tina Kloth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1639418528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W COLLEGE ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622862004",
            "telephone_number": "618-446-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 BELLEVUE AVE",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171851",
            "telephone_number": "314-768-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "TINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "096078",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.227684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "KLOTH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaicy Joseph
• Janae Kadlec, OD
• Kevin Luke Kanallakan, CRNA
• Haruka Kawata, MA, LPC, ATR
• Cynthia M Kempf, MA, OTR/L
• Ayooluwa Kerrigan, DO
• Lisa Kim
• Jacob Kirtley
• Jonathan Kline, DC
• Abigail Renee Knuckles

• Registered Nurse in Richmond Heights, MO
• Providers in Richmond Heights, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.