Jennifer Lynn Moker Czubakowski, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

133838 Issued in WI

Practice address

6523 Romona Ave
Wauwatosa, WI 53213-2967

Phone

(414) 870-3182

NPI assigned

Feb 10, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1215529334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 ROMONA AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132967",
            "telephone_number": "414-870-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 ROMONA AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132967",
            "telephone_number": "414-870-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZUBAKOWSKI",
        "first_name": "JENNIFER",
        "middle_name": "LYNN MOKER",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WI",
            "license": "133838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Cruz, LPC-IT
• Chen Cui, M.D.
• Michael J Culotti
• James A. Cunningham, MD
• Abigail Czarnecki, APNP
• David G Dai, M.O.D, L.AC
• Jodie Marie Daley, RTR
• Nadia S Damm, PSY.D.
• Judy A Danek, RN
• John E Daniels, MD

• Community Health Registered Nurse in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Community Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.