Jodi K Herbst, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

316720-31 Issued in WI

Practice address

1716 Oakridge CT
Stoughton, WI 53589-4938

Phone

(608) 877-1465

NPI assigned

Apr 10, 2013

Last updated

Apr 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jodi K Grimwood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1104269927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 OAKRIDGE CT",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535894938",
            "telephone_number": "608-877-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 OAKRIDGE CT",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535894938",
            "telephone_number": "608-877-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBST",
        "first_name": "JODI",
        "middle_name": "K",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "316720-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "GRIMWOOD",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Kinler Heling, PT, DPT
• Katherine Fixmer Hellmer, OTR
• Nicole J Helmholdt, MSN, APNP, FNP-BC
• Joseph David Henningsen, MD
• Maikhou Lor Her, RN
• Richard W Hill, MD
• Jane Lynn Hipke, COTA
• Nicole Holtz, COTA
• Andrew P Holzli, DC
• Diane Marie Howard I, RN

• Licensed Practical Nurse in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.