Active NPI
Nathaniel Wayne Kiegel, RRT
- Registered Respiratory Therapist
- Evansville, IN
National Provider Identifier
1902668569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 30007743A
- Practice address
- 400 SE 4TH St
Evansville, IN 47713-1206 - Phone
- (812) 421-2500
- NPI assigned
- Jan 29, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 30007743A | IN | Primary |
Addresses
Primary practice location
400 SE 4TH St
Evansville, IN 47713-1206
Mailing address
4588 Maxville Rd
Boonville, IN 47601-9730
Phone (812) 455-0951
Other names 1
- Nathan Kiegel
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30007743A | IN | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1902668569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4588 MAXVILLE RD",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "476019730",
"telephone_number": "812-455-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SE 4TH ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131206",
"telephone_number": "812-421-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEGEL",
"first_name": "NATHANIEL",
"middle_name": "WAYNE",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "IN",
"license": "30007743A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATHAN",
"last_name": "KIEGEL",
"credential": "RRT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.