Individual provider Active NPI

Heidi Marie Jost, RN, NKH, AP, CP, CH

  • Registered Nurse
  • Rockford, IL
National Provider Identifier
1386982346
Registry record updated Jan 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041.222127 Issued in IL
Practice address
5438 Inverness Dr
Rockford, IL 61107-3768
Phone
(815) 226-4697
Fax
(815) 397-4798
NPI assigned
Jan 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.222127 IL Primary
Registered Nurse 163W00000X 193696-30 WI

Addresses

Primary practice location

5438 Inverness Dr
Rockford, IL 61107-3768

Mailing address

5438 Inverness Dr
Rockford, IL 61107-3768
Phone (815) 218-9007

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.222127ILMDRegistered Nurse
193696-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359158400000",
    "number": "1386982346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 INVERNESS DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073768",
            "telephone_number": "815-218-9007",
            "fax_number": "815-397-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5438 INVERNESS DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073768",
            "telephone_number": "815-226-4697",
            "fax_number": "815-397-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOST",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "credential": "RN, NKH, AP, CP, CH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-26",
        "last_updated": "2013-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.222127",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "193696-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; 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.