Active NPI
Ruth Powell Kingkade, RN CDIABETES EDUCATO
- Diabetes Educator Registered Nurse
- Owenton, KY
National Provider Identifier
1932480902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 21110226
- Practice address
- 510 S Main St
Owenton, KY 40359-3036 - Phone
- (502) 484-3412
- Fax
- (502) 484-0864
- NPI assigned
- Sep 6, 2011
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1083125 | KY | MD | Registered Nurse |
| 21110226 | KY | MD | Diabetes Educator Registered Nurse |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1083125 | KY | |
| Diabetes Educator Registered Nurse | 163WD0400X | 21110226 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
510 S Main St
Owenton, KY 40359-3036
Mailing address
510 S Main St
Owenton, KY 40359-3036
Phone (502) 484-3412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2011.
{
"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.