Jacey Leann Janz Vernoski

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14170 Issued in WI

Practice address

2201 Lake Shore Dr E
Ashland, WI 54806

Phone

(715) 685-6600

Fax

(715) 685-6601

NPI assigned

Apr 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St. Luke'S Hospital of Duluth

  • General Acute Care Hospital
  • Superior, WI
  • NPI 1629017793

  WI

  Medicare reassignment
• St. Luke'S Hospital of Duluth

  • Urology Physician
  • Duluth, MN
  • NPI 1396799060
  NPD

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1093058505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 LAKE SHORE DR E",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548062331",
            "telephone_number": "715-685-6600",
            "fax_number": "715-685-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 LAKE SHORE DR E",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-685-6600",
            "fax_number": "715-685-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558072154",
            "country_code": "US",
            "telephone_number": "218-628-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Mellen",
            "state": "WI",
            "postal_code": "545469750",
            "country_code": "US",
            "telephone_number": "715-274-5706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANZ VERNOSKI",
        "first_name": "JACEY",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1997-19",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley C Irwin, MD
• J & C Stock SC
• Barry T Jacobs, DDS
• Amy Jacobson, AUD
• Michaelene Pheifer Jansen, RN, CNP
• Kristine Marie Jensch, CAC.
• Jessica Ann Joanis, MSW
• Johnson Psychotherapy, LLC
• Kristie Johnson, MD
• Scott Kenneth Johnson, MSW, LICSW, LCSW

• All providers in Ashland, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.