Johanne Thruman

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

041405780 Issued in IL

Practice address

1891 Spring Brook Dr
Freeport, IL 61032-9198

Phone

(815) 980-0795

NPI assigned

Apr 25, 2022

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

Electronic endpoints 1

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1215671490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 SPRING BROOK DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610329198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 SPRING BROOK DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610329198",
            "telephone_number": "815-980-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRUMAN",
        "first_name": "JOHANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041405780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Johanne.thruman@my.rfums.org",
            "affiliation": "N",
            "address_1": "1891 Spring Brook Dr",
            "city": "Freeport",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610329198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Registered Nurse in Freeport, IL
• Providers in Freeport, IL by specialty
• General Practice Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.