Jennifer Rose Cronin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

310452-031 Issued in WI

Practice address

3301 N Ballard Rd
Appleton, WI 54911-8928

Phone

(920) 733-4443

Fax

(920) 733-4796

NPI assigned

Jun 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Kimball Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Milwaukee Health Services

  • Substance Abuse Rehabilitation Facility
  • Appleton, WI
  • NPI 1578883567
  NPD (past)

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1114247673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N BALLARD RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118928",
            "telephone_number": "920-733-4443",
            "fax_number": "920-733-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N BALLARD RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118928",
            "telephone_number": "920-733-4443",
            "fax_number": "920-733-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "310452-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KIMBALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Creekside Family Medicine, LLC
• Joan M Crennan, MD
• Crescent Moon Counseling, LLC
• Maria E Cripe, APRN
• Mary Jo Crist
• Michael Joseph Croninger Jr., D.C.
• Katelyn Alissa Cropp, APNP
• Michael Andrew Cruz
• Milagros R Cuaresma-Ambas, M.D.
• John J Cuddy, DDS

• All providers in Appleton, WI
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.