Active NPI
Jill Patricia June
- Voluntary or Charitable Agency
- Ankeny, IA
National Provider Identifier
1306464797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Practice address
- 2546 NW 84TH Ave
Ankeny, IA 50023-9443 - Phone
- (515) 707-5294
- NPI assigned
- Jul 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
2546 NW 84TH Ave
Ankeny, IA 50023-9443
Mailing address
2546 NW 84TH Ave
Ankeny, IA 50023-9443
Phone (515) 707-5294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0843 | Other | MANUFACTURING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 192.168.0.159 | Other |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594425600000",
"number": "1306464797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2546 NW 84TH AVE",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239443",
"telephone_number": "515-707-5294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2546 NW 84TH AVE",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239443",
"telephone_number": "515-707-5294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNE",
"first_name": "JILL",
"middle_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-11",
"last_updated": "2020-07-11",
"certification_date": "2020-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANUFACTURING",
"identifier": "0843",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "192.168.0.159",
"affiliation": "N",
"endpointDescription": "Inventory",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "None",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2546 NW 84th Ave",
"city": "Ankeny",
"state": "IA",
"country_code": "US",
"postal_code": "500239443",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.