Carmen Janich

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

209.010251 Issued in IL

Practice address

143 S Lincoln Ave
Aurora, IL 60505-4263

Phone

(630) 897-0091

NPI assigned

Jan 15, 2013

Last updated

Jul 18, 2013By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: valleywestmedicalcenter.carmenjanich@130037.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley West Medical Center, S.C.

  • Family Medicine Physician
  • Plano, IL
  • NPI 1013191097
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1205173903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 KENT CT",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898511",
            "telephone_number": "630-784-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S LINCOLN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054263",
            "telephone_number": "630-897-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANICH",
        "first_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "209.010251",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.320025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041.320025",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindi Jameson
• Sandra Jameson
• Asma Jami, M.D
• James M Janda, DDS
• Katherine Lane Janda, DMD
• Taylor Janssen
• Japheth Healthcare Services LLC
• Theresa Marie Jaquinde, PTA
• Felicidad Jardenil
• Isabel Anna Jarnow

• Adult Health Clinical Nurse Specialist in Aurora, IL
• Providers in Aurora, IL by specialty
• Adult Health Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.