Individual provider Active NPI

Carole Kinnamon, RN

  • School Registered Nurse
  • Clayton, DE
National Provider Identifier
1891982989
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
L1-0008316 Issued in DE
Practice address
355 West Duck Creek Rd
Clayton, DE 19938
Phone
(302) 653-6276
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

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
L1-0008316DEMDSchool Registered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X L1-0008316 DE Primary

Addresses

NPPES NPI Registry

Primary practice location

355 West Duck Creek Rd
Clayton, DE 19938

Mailing address

355 West Duck Creek Rd
P.O. Box 265
Clayton, DE 19938

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2007.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1891982989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 WEST DUCK CREEK RD",
            "address_2": "P.O. BOX 265",
            "city": "CLAYTON",
            "state": "DE",
            "postal_code": "19938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 WEST DUCK CREEK RD",
            "city": "CLAYTON",
            "state": "DE",
            "postal_code": "19938",
            "telephone_number": "302-653-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNAMON",
        "first_name": "CAROLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "DE",
            "license": "L1-0008316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.