Carol Ann Jane Jacovich-Ochwat, RN, CRNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

0041-307612 Issued in IL

Practice address

704 S Wilke Rd
Palatine, IL 60074-7629

Phone

(847) 577-5461

Fax

(847) 577-5471

NPI assigned

Mar 22, 2007

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1336265206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S WILKE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600747629",
            "telephone_number": "847-577-5461",
            "fax_number": "847-577-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S WILKE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600747629",
            "telephone_number": "847-577-5461",
            "fax_number": "847-577-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOVICH-OCHWAT",
        "first_name": "CAROL ANN",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "RN, CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "0041-307612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse First Assistant in Palatine, IL
• Providers in Palatine, IL by specialty
• Registered Nurse First Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.