Jill Kristine Monroe, RN RCS

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

111096-30 Issued in WI

Practice address

500 City Ctr
Oshkosh, WI 54901-4830

Phone

(920) 456-3200

NPI assigned

Apr 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1063685279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 HICKORY LANE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012516",
            "telephone_number": "920-379-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CITY CTR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014830",
            "telephone_number": "920-456-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "JILL",
        "middle_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "RN RCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "111096030",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WI",
            "license": "111096-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35018600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mladucky, NP
• Modern Dental Center Oshkosh LLC
• Carrie L Moenk, RD
• Muhammad I Moid, MD
• Laurie Mollenhauer, P.T., D.P.T.
• Helen A Moore, RN
• Krista Kay Moore, SAC-IT
• Carol R Morack, MSW,CADC-D,RES
• Morgan Morack, PT
• Patricia Morales Valdes Brost, MD

• Case Management Registered Nurse in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Case Management Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.