Active NPI
Joanne Kenyon, RN
- Adult Psychiatric/Mental Health Registered Nurse
- Wakefield, RI
National Provider Identifier
1770614703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- RN32847
- Practice address
- 55 Cherry LN
Wakefield, RI 02879-3617 - Phone
- (401) 789-1367
- Fax
- (401) 789-6744
- NPI assigned
- Mar 9, 2007
- Last updated
- Mar 12, 2013
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN32847 | RI | Primary |
Addresses
Primary practice location
55 Cherry LN
Wakefield, RI 02879-3617
Mailing address
PO Box 899
Charlestown, RI 02813-0899
Phone (401) 789-1367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JK12451 | Medicaid | RI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN32847 | RI | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Group Psychotherapy Psychologist
- Charlestown, RI
- NPI 1255327391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1770614703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 899",
"city": "CHARLESTOWN",
"state": "RI",
"postal_code": "028130899",
"telephone_number": "401-789-1367",
"fax_number": "401-364-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CHERRY LN",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028793617",
"telephone_number": "401-789-1367",
"fax_number": "401-789-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENYON",
"first_name": "JOANNE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "RI",
"license": "RN32847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JK12451",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.