Active NPI
Janet Marie Knesek, REGISTERED NURSE
- Registered Nurse
- Rancho Cordova, CA
National Provider Identifier
1104414291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 622725
- Practice address
- 3301 Zinfandel Dr
Rancho Cordova, CA 95670-6385 - Phone
- (916) 852-8332
- NPI assigned
- Jan 5, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 622725 | CA | Primary |
Addresses
Primary practice location
3301 Zinfandel Dr
Rancho Cordova, CA 95670-6385
Mailing address
11130 Jordan River CT
Rancho Cordova, CA 95670-2945
Phone (916) 622-2830
Other names 1
- Miss Janet M Knesek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 622725 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Rancho Cordova, CA
- NPI 1588806665
-
- Pharmacy
- Jurupa Valley, CA
- NPI 1780573113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1104414291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11130 JORDAN RIVER CT",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956702945",
"telephone_number": "916-622-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 ZINFANDEL DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706385",
"telephone_number": "916-852-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNESEK",
"first_name": "JANET",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "622725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "KNESEK",
"middle_name": "M",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.