Individual provider Active NPI

Ruth Powell Kingkade, RN CDIABETES EDUCATO

  • Diabetes Educator Registered Nurse
  • Owenton, KY
National Provider Identifier
1932480902
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
21110226 Issued in KY
Practice address
510 S Main St
Owenton, KY 40359-3036
Phone
(502) 484-3412
Fax
(502) 484-0864
NPI assigned
Sep 6, 2011
Last updated
Sep 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1083125 KY
Diabetes Educator Registered Nurse 163WD0400X 21110226 KY Primary

Addresses

Primary practice location

510 S Main St
Owenton, KY 40359-3036

Mailing address

510 S Main St
Owenton, KY 40359-3036
Phone (502) 484-3412

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
1083125KYMDRegistered Nurse
21110226KYMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1932480902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S MAIN ST",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403593036",
            "telephone_number": "502-484-3412",
            "fax_number": "502-484-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S MAIN ST",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403593036",
            "telephone_number": "502-484-3412",
            "fax_number": "502-484-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGKADE",
        "first_name": "RUTH",
        "middle_name": "POWELL",
        "name_prefix": "Mrs.",
        "credential": "RN CDIABETES EDUCATO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1083125",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "KY",
            "license": "21110226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owenton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.