Carole A. Jesberg, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

145190-030 Issued in WI

Practice address

1500 N 34TH St
Suite 200
Superior, WI 54880-4477

Phone

(715) 392-8216

Fax

(715) 392-6055

NPI assigned

Feb 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Carole A. Peterson Former name

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1386813707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052407",
            "telephone_number": "218-728-4491",
            "fax_number": "218-728-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N 34TH ST",
            "address_2": "SUITE 200",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548804477",
            "telephone_number": "715-392-8216",
            "fax_number": "715-392-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESBERG",
        "first_name": "CAROLE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WI",
            "license": "145190-030",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "145190-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194994525",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "PETERSON",
            "middle_name": "A.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trinity Janowski
• Joan Kristen Jeanetta
• Joseph Frank Jeanetta
• Jennifer Hodgson Clinical Services LLC
• Ashley Elizabeth Jensen, FNP-BC
• Brent T Johnson, DDS
• Karen Schwoebel Johnson, MS
• Lisa Marie Johnson, PTA
• Richard Mathias Johnson, DDS
• Sarah Elizabeth Johnson, PA-C

• Registered Nurse in Superior, WI
• Providers in Superior, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.