Individual provider Active NPI

Jill Patricia June

  • Voluntary or Charitable Agency
  • Ankeny, IA
National Provider Identifier
1306464797
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
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

Updated by the provider on Jul 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0843OtherMANUFACTURING

Electronic endpoints 1

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.