Jennifer Kanipe, RN, BSN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN139639 Issued in GA

Practice address

500 Buford Hwy Apt 1311
Suwanee, GA 30024-7791

Phone

(770) 403-9935

NPI assigned

Dec 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1942026323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BUFORD HWY APT 1311",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247791",
            "telephone_number": "770-403-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BUFORD HWY APT 1311",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247791",
            "telephone_number": "770-403-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANIPE",
        "first_name": "JENNIFER",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "GA",
            "license": "RN139639",
            "primary": false
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "GA",
            "license": "RN139639",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "RN139639",
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "GA",
            "license": "RN139639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maressa Pedroso Kaminski Czeczko, FNP-BC
• David Smith Kamuelyu Jr., CADC II
• Jithendar Kancharla
• Natasha Kanchwala
• Myong Jin Kang, MD
• Gregory James Kareis, PT, DPT
• Jessica Karell
• Scott Marc Karlin, MD
• Bahareh Kashani, PHARMD
• Katherine K. Yi, DDS, PC

• Administrator Registered Nurse in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Administrator Registered Nurse in Georgia

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

Verify at the official NPI Registry.