Active NPI
Andrea Kay Jaeger, RN
- Registered Nurse
- Sheboygan, WI
National Provider Identifier
1447650205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 109026-30
- Practice address
- 2842 S Business Dr
Sheboygan, WI 53081-6518 - Phone
- (920) 458-6527
- NPI assigned
- Aug 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 109026-30 | IL | Primary |
Addresses
Primary practice location
2842 S Business Dr
Sheboygan, WI 53081-6518
Mailing address
2422 N Grandview Blvd
Waukesha, WI 53188-6105
Phone (262) 549-6600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 109026-30 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1447650205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 N GRANDVIEW BLVD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531886105",
"telephone_number": "262-549-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2842 S BUSINESS DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530816518",
"telephone_number": "920-458-6527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAEGER",
"first_name": "ANDREA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-29",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "109026-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.