Nancy Ann Townzen, RN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

041.177498 Issued in IL

Practice address

400 Maple Summit Rd
Jersey Community Hospital
Jerseyville, IL 62052-2028

Phone

(618) 498-8402

NPI assigned

Apr 14, 2008

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

Other identifiers 1

Other names 1

• Miss Nancy Ann Blaylock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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.

• Reno Sparks Indian Colony

  dba reno sparks tribal health center

  • Clinic/Center
  • Reno, NV
  • NPI 1497700801
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1093989808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W CENTER ST",
            "city": "BRIGHTON",
            "state": "IL",
            "postal_code": "620121134",
            "telephone_number": "775-229-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAPLE SUMMIT RD",
            "address_2": "JERSEY COMMUNITY HOSPITAL",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522028",
            "telephone_number": "618-498-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNZEN",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NV",
            "license": "RN18588",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IL",
            "license": "041.177498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004716904",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BLAYLOCK",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "RN, CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Elizabeth Thompson
• Jennifer Marie Timpe, PHARM.D.
• Anna Toney
• Randy Jerome Toppmeyer, DMD
• Total Renal Care Inc (Jerseyville Dialysis)
• Tri-County Counseling Center
• Corbin Henry James Tutterow, BEHAVIOR TECHNICIAN
• Unlimited Development, Inc. (UDI 11 Jerseyville Manor)
• Batool N Vali, MD
• Ethan Vandersand

• Diabetes Educator Registered Nurse in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Diabetes Educator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.