Keri Jansen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010573 Issued in NC

Practice address

4415 Monroe Rd
Charlotte, NC 28205-7754

Phone

(704) 332-3634

NPI assigned

May 2, 2018

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

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1154810554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18541 BOULDER ROCK LOOP",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368915",
            "telephone_number": "508-221-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057754",
            "telephone_number": "704-332-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "KERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Kimerlee Jandebeur, NP
• Dana I. Jandzinski, MD
• Olivia Kristina Jankowski, PA
• Alexander John Janovski
• Cara Ann Jansen
• Zachary Paul Jansen
• Jada Samone Jant, PA
• Janus RX LLC
• Carly Elise Janusek, PA
• Kaitlyn Ashley Januszkiewicz, PA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.