Individual provider Active NPI

Jeanne Marcile Cafourek, RN

  • Registered Nurse
  • Rochester, MN
National Provider Identifier
1447701644
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R 92996-1 Issued in MN
Practice address
2423 22ND Ave SE
Rochester, MN 55904-5816
Phone
(507) 280-0193
NPI assigned
Oct 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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 R 92996-1 MN Primary

Addresses

Primary practice location

2423 22ND Ave SE
Rochester, MN 55904-5816

Mailing address

2423 22ND Ave SE
Rochester, MN 55904-5816
Phone (507) 280-7895

Other identifiers 1

IdentifierTypeStateIssuer
009309MedicaidMN

Other names 1

  • Miss Jeanne Marcile Lau Former name

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
R 92996-1MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1477180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1447701644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 22ND AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559045816",
            "telephone_number": "507-280-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 22ND AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559045816",
            "telephone_number": "507-280-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFOUREK",
        "first_name": "JEANNE",
        "middle_name": "MARCILE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-23",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 92996-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009309",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "LAU",
            "middle_name": "MARCILE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.