Kathy Ann January, RN

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

041-275899 Issued in IL

Practice address

2364 Delaware Ave
Apt a
Great Lakes, IL 60088-2532

Phone

(847) 508-1799

NPI assigned

Jul 19, 2006

Last updated

Aug 29, 2012By 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

Other names 1

• Ms. Kathy Ann Rogers 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1427077387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 DELAWARE AVE",
            "address_2": "APT A",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600882532",
            "telephone_number": "847-508-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 DELAWARE AVE",
            "address_2": "APT A",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600882532",
            "telephone_number": "847-508-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANUARY",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "IL",
            "license": "041-275899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "ROGERS",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James a Lovell FHCC (Uss Tranq Dental Phcy)
• James a Lovell FHCC (Great Lakes NH Phcy)
• James a Lovell FHCC (Uss Tranq Main Phcy)
• James a Lovell FHCC (Great Lakes BMC 237 Phcy)
• James a Lovell FHCC
• Molly Ann Jenkins, DDS
• Scott A Jensen, DMD
• David Robert Johnsen, NAVY IDC
• Theodore Johnson, MD
• Pamela Elayne Jones Williamson, D.O.

• Wound Care Registered Nurse in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Wound Care Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.