Active NPI
Jamielee B Kinard, AGNP
- Nurse Practitioner
- Paramus, NJ
National Provider Identifier
1710707195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ15147000
- Practice address
- 415 Acorn Dr # NJ
Paramus, NJ 07652-4144 - Phone
- (201) 640-9146
- NPI assigned
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ15147000 | NJ | Primary |
Addresses
Primary practice location
415 Acorn Dr # NJ
Paramus, NJ 07652-4144
Mailing address
415 Acorn Dr # NJ
Paramus, NJ 07652-4144
Phone (201) 640-9146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250408003478 | NJ | Order and Referring Only - Nurse Practitioner | 7911421243 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1710707195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 ACORN DR # NJ",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524144",
"telephone_number": "201-640-9146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 ACORN DR # NJ",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524144",
"telephone_number": "201-640-9146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINARD",
"first_name": "JAMIELEE",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ15147000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.