Jill A Kaneski

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

LPN.062272.MEDS Issued in OH

Practice address

920 Boardman Canfield Rd
Boardman, OH 44512-4218

Phone

(330) 953-0243

NPI assigned

Oct 24, 2018

Last updated

Oct 24, 2018By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Path Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Boardman, OH
  • NPI 1124558580
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1336616754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WESTHAMPTON DR",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445153860",
            "telephone_number": "330-506-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124218",
            "telephone_number": "330-953-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANESKI",
        "first_name": "JILL",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "OH",
            "license": "LPN.062272.MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lee Kabetso Jr.
• Kenneth John Kadilak Jr., PHARMD
• Adam Kagarise, D.P.T
• Steven M Kalavsky, M.D.
• Priscilla Ali Kalbfell, LAT, ATC
• Jana Leigh Kanos, MSW
• Sandi Kanos
• Dean Kaplan
• Ritha Kartan, MD
• Sarbjit Kaur, CNP

• Licensed Vocational Nurse in Boardman, OH
• Providers in Boardman, OH by specialty
• Licensed Vocational Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.