Individual provider Active NPI

Janessa Sjobeck

  • Registered Nurse
  • La Crosse, WI
National Provider Identifier
1376087932
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
223472-30 Issued in WI
Practice address
4931 County Road B
La Crosse, WI 54601-2999
Phone
(320) 815-1727
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 223472-30 WI Primary

Addresses

Primary practice location

4931 County Road B
La Crosse, WI 54601-2999

Mailing address

4931 County Road B
La Crosse, WI 54601-2999
Phone (320) 815-1727

Other identifiers 1

IdentifierTypeStateIssuer
1802-028OtherWIPEDIATRIC HOME SERVICE

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

LicenseStateTypeSpecialty
223472-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1376087932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 COUNTY ROAD B",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546012999",
            "telephone_number": "320-815-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 COUNTY ROAD B",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546012999",
            "telephone_number": "320-815-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJOBECK",
        "first_name": "JANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "223472-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRIC HOME SERVICE",
            "identifier": "1802-028",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.