Individual provider Active NPI

Anne Marie Kynsi Dines

  • School Registered Nurse
  • Clatskanie, OR
National Provider Identifier
1750133278
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
099006021RN Issued in OR
Practice address
PO Box 678
Clatskanie, OR 97016-0678
Phone
(503) 728-0587
Fax
(503) 728-0608
NPI assigned
Apr 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 099006021RN OR Primary

Addresses

Primary practice location

PO Box 678
Clatskanie, OR 97016-0678

Mailing address

PO Box 678
Clatskanie, OR 97016-0678
Phone (503) 728-0587

Other practice location 1

471 SW Belair Dr
Clatskanie, OR 97016-7415
Phone (503) 728-2191 ext. 2213

Other practice location 2

815 S Nehalem St
Clatskanie, OR 97016-2852
Phone (503) 728-2191 ext. 2213

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
099006021RNORMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clatskanie School District PastSince Apr 9, 2024 Accepting new patients
Clatskanie School District 6J PastSince Apr 9, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1750133278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "970160678",
            "telephone_number": "503-728-0587",
            "fax_number": "503-728-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 678",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "970160678",
            "telephone_number": "503-728-0587",
            "fax_number": "503-728-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "471 SW Belair Dr",
            "address_purpose": "LOCATION",
            "city": "Clatskanie",
            "state": "OR",
            "postal_code": "970167415",
            "country_code": "US",
            "telephone_number": "503-728-2191 x2213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 S Nehalem St",
            "address_purpose": "LOCATION",
            "city": "Clatskanie",
            "state": "OR",
            "postal_code": "970162852",
            "country_code": "US",
            "telephone_number": "503-728-2191 x2213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYNSI DINES",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OR",
            "license": "099006021RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clatskanie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.