Jodie Lynn Kroll, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

305232-31 Issued in WI

Practice address

3113 E Washington Ave
Madison, WI 53704-4330

Phone

(608) 416-5777

NPI assigned

Jun 18, 2019

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychological Addiction Services LLC

  • Methadone Clinic
  • Madison, WI
  • NPI 1881131761
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1043870520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044330",
            "telephone_number": "608-416-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044330",
            "telephone_number": "608-416-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "JODIE",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "305232-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Krochalk
• Erik William Kroger, MD
• Kenneth James Krogman, PT
• Amy Cortright Krohn, M.D.
• Kelly Krohn
• Nathan Richard Kroll, DDS
• Lisa Ellen Kromanaker, R.N.
• Jessica Lynn Kron
• Holly E Krook, ND
• Arnold J Krubsack, MD

• Licensed Practical Nurse in Madison, WI
• Providers in Madison, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.