Individual provider Active NPI

Ryinne A Jacquemin, NASM-CPT

  • Student in an Organized Health Care Education/Training Program
  • Springfield, MO
National Provider Identifier
1972041358
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4331 S Fremont Ave
Springfield, MO 65804-7328
Phone
(636) 544-1479
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

4331 S Fremont Ave
Springfield, MO 65804-7328

Mailing address

605 Seib Dr
O Fallon, MO 63366-1384
Phone (636) 544-1479

Other practice location 1

1 College Hl
Canton, MO 63435-1257
Phone (636) 544-1479

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

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1972041358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SEIB DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661384",
            "telephone_number": "636-544-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 S FREMONT AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047328",
            "telephone_number": "636-544-1479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 College Hl",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MO",
            "postal_code": "634351257",
            "country_code": "US",
            "telephone_number": "636-544-1479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACQUEMIN",
        "first_name": "RYINNE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NASM-CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.