Individual provider Active NPI

Kimberly Megonigal, RN

  • School Registered Nurse
  • Felton, DE
National Provider Identifier
1962689570
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
L10020968 Issued in DE
Practice address
5423 Killens Pond Rd
Lake Forest School District
Felton, DE 19943-1901
Phone
(302) 684-4950
Fax
(302) 684-8931
NPI assigned
Jan 25, 2008
Last updated
Jan 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X L10020968 DE Primary

Addresses

Primary practice location

5423 Killens Pond Rd
Lake Forest School District
Felton, DE 19943-1901

Mailing address

5423 Killens Pond Rd
Lake Forest School District
Felton, DE 19943-1901
Phone (302) 684-4950

Other identifiers 1

IdentifierTypeStateIssuer
L10020968OtherDESTATE LICENSE

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
L10020968DEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1962689570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 KILLENS POND RD",
            "address_2": "LAKE FOREST SCHOOL DISTRICT",
            "city": "FELTON",
            "state": "DE",
            "postal_code": "199431901",
            "telephone_number": "302-684-4950",
            "fax_number": "302-684-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 KILLENS POND RD",
            "address_2": "LAKE FOREST SCHOOL DISTRICT",
            "city": "FELTON",
            "state": "DE",
            "postal_code": "199431901",
            "telephone_number": "302-684-4950",
            "fax_number": "302-684-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGONIGAL",
        "first_name": "KIMBERLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "DE",
            "license": "L10020968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "L10020968",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Felton, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.