Active NPI
Karen Jean Mahnke, MSN, APN, CNS-BC
- Medical-Surgical Clinical Nurse Specialist
- Gurnee, IL
National Provider Identifier
1477994929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- 209003724
- Practice address
- 6269 Old Farm LN
Gurnee, IL 60031-4433 - Phone
- (857) 535-6286
- NPI assigned
- Jul 12, 2013
- 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 |
|---|---|---|---|---|
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | 209003724 | IL | Primary |
Addresses
Primary practice location
6269 Old Farm LN
Gurnee, IL 60031-4433
Mailing address
6269 Old Farm LN
Gurnee, IL 60031-4433
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209003724 | IL | MD | Medical-Surgical Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1477994929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6269 OLD FARM LN",
"city": "GURNEE",
"state": "IL",
"postal_code": "600314433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6269 OLD FARM LN",
"city": "GURNEE",
"state": "IL",
"postal_code": "600314433",
"telephone_number": "857-535-6286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHNKE",
"first_name": "KAREN",
"middle_name": "JEAN",
"credential": "MSN, APN, CNS-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-12",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "IL",
"license": "209003724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.