Individual provider Active NPI

Jessica Rae Hinkel

  • Home Health Registered Nurse
  • Bismarck, ND
National Provider Identifier
1720617467
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R35669 Issued in ND
Practice address
1842 N 22ND St
Bismarck, ND 58501-2346
Phone
(701) 870-1202
NPI assigned
Apr 4, 2020
Last updated
Apr 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X R35669 ND Primary

Addresses

Primary practice location

1842 N 22ND St
Bismarck, ND 58501-2346

Mailing address

1842 N 22ND St
Bismarck, ND 58501-2346
Phone (701) 870-1202

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rentanursepllc@gmail.com

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

State licenses

LicenseStateTypeSpecialty
R35669NDMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1720617467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 N 22ND ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012346",
            "telephone_number": "701-870-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 N 22ND ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012346",
            "telephone_number": "701-870-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKEL",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "ND",
            "license": "R35669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rentanursepllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "company email address",
            "address_1": "1842 N 22nd St",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585012346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.