Active NPI
Jane A. Golowski, R.N.
- Cardiac Rehabilitation Registered Nurse
- Peoria, IL
National Provider Identifier
1194123836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiac Rehabilitation Registered Nurse
- License
- 041.242524
- Practice address
- 6501 N Sheridan Rd
Peoria, IL 61614-2932 - Phone
- (309) 692-8110
- NPI assigned
- Dec 11, 2014
- 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 |
|---|---|---|---|---|
| Cardiac Rehabilitation Registered Nurse | 163WC3500X | 041.242524 | IL | Primary |
Addresses
Primary practice location
6501 N Sheridan Rd
Peoria, IL 61614-2932
Mailing address
6501 N Sheridan Rd
Peoria, IL 61614-2932
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.242524 | IL | MD | Cardiac Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418256000000",
"number": "1194123836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 N SHERIDAN RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 N SHERIDAN RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142932",
"telephone_number": "309-692-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLOWSKI",
"first_name": "JANE",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-11",
"last_updated": "2014-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC3500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Cardiac Rehabilitation",
"state": "IL",
"license": "041.242524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.