Individual provider Active NPI

Kim Latonia-Faye Dunkins Herndon, RN

  • Registered Nurse
  • Twinsburg, OH
National Provider Identifier
1891017265
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN357075 Issued in OH
Practice address
2114 Oxford St
Twinsburg, OH 44087-2028
Phone
(216) 577-5460
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN357075 OH Primary

Addresses

Primary practice location

2114 Oxford St
Twinsburg, OH 44087-2028

Mailing address

2114 Oxford St
Twinsburg, OH 44087-2028

Other names 1

  • Kim Latonia-Faye Dunkins-Herndon Former name

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

LicenseStateTypeSpecialty
RN357075OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1891017265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 OXFORD ST",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 OXFORD ST",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872028",
            "telephone_number": "216-577-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKINS HERNDON",
        "first_name": "KIM",
        "middle_name": "LATONIA-FAYE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN357075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "DUNKINS-HERNDON",
            "middle_name": "LATONIA-FAYE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.