Active NPI
Joy M Kowalski
- Registered Nurse
- Lake Geneva, WI
National Provider Identifier
1265519482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 066298
- Practice address
- 2131 Ridge Dr
Lake Geneva, WI 53147-3627 - Phone
- (262) 249-0349
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 066298 | IA | Primary |
Addresses
Primary practice location
2131 Ridge Dr
Lake Geneva, WI 53147-3627
Mailing address
1333 Pleasant St
Osage, IA 50461-1840
Phone (641) 732-3144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39864600 | Other | WI | PROVIDER NUMBER PRIVATE D |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066298 | IA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265519482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 PLEASANT ST",
"city": "OSAGE",
"state": "IA",
"postal_code": "504611840",
"telephone_number": "641-732-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 RIDGE DR",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531473627",
"telephone_number": "262-249-0349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "JOY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IA",
"license": "066298",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER PRIVATE D",
"identifier": "39864600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.