Individual provider Active NPI

Joshua Michael Kies, FNP-BC

  • Community Health Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1730664384
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
RN215955 Issued in GA
Practice address
1602 Drayton St
Savannah, GA 31401-7526
Phone
(912) 651-3378
Fax
(912) 358-2868
NPI assigned
Sep 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X RN215955 GA Primary

Addresses

Primary practice location

1602 Drayton St
Savannah, GA 31401-7526

Mailing address

1602 Drayton St
Savannah, GA 31401-7526
Phone (912) 658-3378

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1730664384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 DRAYTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314017526",
            "telephone_number": "912-658-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 DRAYTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314017526",
            "telephone_number": "912-651-3378",
            "fax_number": "912-358-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIES",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-30",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "GA",
            "license": "RN215955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.