THEODORE STANTON KAISER RN CDOE NPI 1144606369

NPI Information

NPI: 1144606369
Provider Name: THEODORE STANTON KAISER, RN, CDOE
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
530 N MAIN ST
PROVIDENCE, RI
ZIP 02904
Phone: (401) 415-9500
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Theodore Stanton Kaiser, RN, CDOE is a diabetes educator registered nurse in Providence, RI. Theodore Stanton Kaiser, RN, CDOE NPI is 1144606369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

530 N MAIN ST
PROVIDENCE, RI
ZIP 02904-762
Phone: (401) 415-9500
Fax: (401) 415-9515

The enumeration date for this NPI number is 8/11/2015 and was last updated on 8/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		32575	RHODE ISLAND	No
2	163WD0400X	Registered Nurse	Diabetes Educator	RN32575	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	163W00000X	MEDICARE PIN	RHODE ISLAND
2	163W00000X	MEDICARE OSCAR/CERTIFICATION	RHODE ISLAND
3	163W00000X	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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