Active NPIIndividual providerSole proprietor

Kimberly Pennine

Registered Nurse in East Providence, Rhode Island

NPI Number1396149704
Practice location
975 Waterman Ave, East Providence, RI 02914-1342
Fax
—
Last updated
September 11, 2023

Kimberly Pennine is a Registered Nurse based in East Providence, RI. Kimberly Pennine practices in East Providence, RI. The NPI Number for Kimberly Pennine is 1396149704 and holds a License No. RN50595 (RI). The current practice location address for Kimberly Pennine is 975 Waterman Ave, East Providence, RI 02914-1342 and can be reached out via phone at 401-437-4884.

Provider Profile Details

NPI Number
1396149704
Provider Name
Kimberly Pennine
Provider Entity Type
Individual
Gender
Female
Address
975 Waterman Ave, East Providence, RI 02914-1342
Phone Number
401-437-4884
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 14, 2014
Last Update Date
September 11, 2023
Certification Date
September 11, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
975 Waterman Ave
East Providence, RI 02914-1342
Zip
02914-1342
Phone Number
401-437-4884
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
25 Kiley St
North Providence, RI 02911-2723
City
North Providence
State
RI
Zip
02911-2723
Phone Number
401-481-9329

License Information

License Number (1)
RN50595
License State (1)
RI
Taxonomy (1)
Registered Nurse, Home Health · 163WH0200X
License Number (2)
RN50595
License State (2)
RI
Taxonomy (2)
Home Health · 251E00000X
License Number (3)
RN50595
License State (3)
RI
Taxonomy (3)
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly Pennine?

The NPI number of Kimberly Pennine is 1396149704. It was assigned on October 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Kimberly Pennine?

Kimberly Pennine is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in RI under license number RN50595.

Where does Kimberly Pennine practice?

The practice location is 975 Waterman Ave, East Providence, RI 02914-1342. The office can be reached at 401-437-4884 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396149704 directly on the NPPES registry website.

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