Jennifer Joy Kise

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS9630 Issued in CA

Practice address

1710 Barton Rd
Kaiser Office 2ND Floor
Redlands, CA 92373-5304

Phone

(909) 558-9318

Fax

(909) 558-9317

NPI assigned

Jun 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962608000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W HOSPITALITY LN",
            "address_2": "SUITE 312",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083243",
            "telephone_number": "909-386-5500",
            "fax_number": "909-386-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 BARTON RD",
            "address_2": "KAISER OFFICE 2ND FLOOR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735304",
            "telephone_number": "909-558-9318",
            "fax_number": "909-558-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISE",
        "first_name": "JENNIFER",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS9630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneeta Ramakrishna Kiran, MD
• Kirk G. Howard MD Inc
• Gwenyth Lavillia Kirkland
• Lindsay Ann Kirkland, MS, CCC-SLP
• Lisa Kirkland, LMFT
• Steven Roy Kleen, O.D.
• Nora J Klimper, LVN
• Cassidy Klohr
• Heather Knutson, M.S., CC-A/SLP, FAAA
• Samantha Keiko Kobara, M.S. CCC-SLP

• Clinical Social Worker in Redlands, CA
• Providers in Redlands, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.