Active NPI
Jaimie Kolanowski, PA-C
- Physician Assistant
- Lafayette, IN
National Provider Identifier
1073420626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3750 Landmark Dr Ste a
Lafayette, IN 47905-6652 - Phone
- (765) 807-2780
- Fax
- (317) 706-3417
- NPI assigned
- Aug 27, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | IN | Primary |
Addresses
Primary practice location
3750 Landmark Dr Ste a
Lafayette, IN 47905-6652
Mailing address
29943 Network PL
Chicago, IL 60673-1299
Phone (765) 807-2780
Other practice location 1
7950 Ortho Ln
Brownsburg, IN 46112-9354
Phone (317) 706-7146
Other practice location 2
2302 S Dixon Rd
Kokomo, IN 46902-6424
Phone (317) 706-7146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1073420626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29943 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731299",
"telephone_number": "765-807-2780",
"fax_number": "317-706-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 LANDMARK DR STE A",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479056652",
"telephone_number": "765-807-2780",
"fax_number": "317-706-3417"
}
],
"practiceLocations": [
{
"address_1": "7950 Ortho Ln",
"address_purpose": "LOCATION",
"city": "Brownsburg",
"state": "IN",
"postal_code": "461129354",
"country_code": "US",
"telephone_number": "317-706-7146",
"fax_number": "317-706-3417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2302 S Dixon Rd",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469026424",
"country_code": "US",
"telephone_number": "317-706-7146",
"fax_number": "317-706-3417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLANOWSKI",
"first_name": "JAIMIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.