Kathy Ann Janisch, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

94650 Issued in WI

Practice address

S67W32615 Ashton Way E
Mukwonago, WI 53149-9759

Phone

(262) 490-7009

NPI assigned

Feb 16, 2021

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Feb 16, 2021.

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1669065116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S67W32615 ASHTON WAY E",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499759",
            "telephone_number": "262-490-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S67W32615 ASHTON WAY E",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499759",
            "telephone_number": "262-490-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANISCH",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "94650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Hill, LPN
• Sue Baird Holmes, R.N.
• Honor on-Site Clinics
• Debra Marie Hudson, LPN
• Diann Louise Ikeler, OTR
• Joanne Elizabeth Jessen, PT
• Daniel E. Johnson, M.D.
• Danika Brianne Johnson
• Sarah Elizabeth Jorgensen, APNP
• Joel Lee Kaczinski

• All providers in Mukwonago, WI
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.