Active NPI
Corinne Rose Jahns, N.P.
- Family Nurse Practitioner
- Springfield, IL
National Provider Identifier
1053779751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209013838
- Practice address
- 2239 E Cook St
Springfield, IL 62703-1944 - Phone
- (217) 788-2300
- Fax
- (217) 788-2341
- NPI assigned
- Feb 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209013838 | IL | Primary |
Addresses
Primary practice location
2239 E Cook St
Springfield, IL 62703-1944
Mailing address
2239 E Cook St
Springfield, IL 62703-1944
Phone (217) 788-2300
Other names 1
- Miss Corinne Rose Kruger
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic LLP | Current | Accepting new patients |
Interoperability endpoints
- corinnejahns@sfc.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1215974415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1053779751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2239 E COOK ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627031944",
"telephone_number": "217-788-2300",
"fax_number": "217-788-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2239 E COOK ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627031944",
"telephone_number": "217-788-2300",
"fax_number": "217-788-2341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAHNS",
"first_name": "CORINNE",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-09",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209013838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORINNE",
"last_name": "KRUGER",
"middle_name": "ROSE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.