Individual provider Active NPI

Jennifer Kaye Thais, RN

  • Case Management Registered Nurse
  • Bicknell, IN
National Provider Identifier
1649150897
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
28129144C Issued in IN
Practice address
818 Short St
Bicknell, IN 47512-2818
Phone
(812) 910-1928
NPI assigned
Sep 6, 2025
Last updated
Sep 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 28129144C IN Primary
Community/Behavioral Health Agency 251S00000X 28129144C IN

Addresses

Primary practice location

818 Short St
Bicknell, IN 47512-2818

Mailing address

818 Short St
Bicknell, IN 47512-2818
Phone (812) 910-1928

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
28129144CINMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1649150897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SHORT ST",
            "city": "BICKNELL",
            "state": "IN",
            "postal_code": "475122818",
            "telephone_number": "812-910-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SHORT ST",
            "city": "BICKNELL",
            "state": "IN",
            "postal_code": "475122818",
            "telephone_number": "812-910-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAIS",
        "first_name": "JENNIFER",
        "middle_name": "KAYE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IN",
            "license": "28129144C",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "28129144C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bicknell, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; 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.