Active NPI
Jamie Christine Key, LPN
- Licensed Practical Nurse
- Galesburg, IL
National Provider Identifier
1609994656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 043-087458
- Practice address
- 2323 Windish Dr
Galesburg, IL 61401-9780 - Phone
- (309) 344-4200
- Fax
- (309) 344-4281
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043-087458 | IL | Primary |
| Case Manager/Care Coordinator | 171M00000X | 043-087458 | IL |
Addresses
Primary practice location
2323 Windish Dr
Galesburg, IL 61401-9780
Mailing address
1548 Meadow Dr
Galesburg, IL 61401-2151
Phone (309) 341-2213
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043-087458 | Other | IL | D.PR. |
| 370984175 | Other | IL | F.I.N. BWAY ORG |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043-087458 | IL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239667200000",
"number": "1609994656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1548 MEADOW DR",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614012151",
"telephone_number": "309-341-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 WINDISH DR",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614019780",
"telephone_number": "309-344-4200",
"fax_number": "309-344-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEY",
"first_name": "JAMIE",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2009-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IL",
"license": "043-087458",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "IL",
"license": "043-087458",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "D.PR.",
"identifier": "043-087458",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "F.I.N. BWAY ORG",
"identifier": "370984175",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.