Kelly Ann Jaszarowski, RN, CWOCN

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

029.002704 Issued in IL

Practice address

5409 N Knoxville Ave
Peoria, IL 61614-5069

Phone

(309) 683-6205

Fax

(309) 691-4543

NPI assigned

Feb 10, 2011

Last updated

Feb 10, 2011By the provider in NPPES

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

• Miss Kelly Ann Foran Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1184920084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145069",
            "telephone_number": "309-683-6205",
            "fax_number": "309-691-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145069",
            "telephone_number": "309-683-6205",
            "fax_number": "309-691-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASZAROWSKI",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, CWOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "029.002704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FORAN",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Regan Jankovic
• David William Jantzen III, M.D.
• Laura Jarvis, NP
• Thomas Jasionowski
• Martin Jack Jastrzebski, MD
• Muhammad Jawad Javed, M.D.
• JD Nimrick PC (Premier Healthcare)
• Heather Jefford, DNP, APN
• Talya Marie Jeffrey, DO
• James Murray Jeffries III, MD

• Clinical Nurse Specialist in Peoria, IL
• Providers in Peoria, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.