Individual provider Active NPI

Mary Jane Aufdengarten, RN

  • Case Management Registered Nurse
  • Rolla, MO
National Provider Identifier
1699083105
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
119175 Issued in MO
Practice address
1302 Harvey LN
Rolla, MO 65401-4576
Phone
(573) 341-8518
Fax
(573) 596-0680
NPI assigned
Sep 17, 2010
Last updated
Sep 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 119175 MO Primary

Addresses

Primary practice location

1302 Harvey LN
Rolla, MO 65401-4576

Mailing address

1302 Harvey LN
Rolla, MO 65401-4576
Phone (573) 341-8518

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
119175MOMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1699083105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 HARVEY LN",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014576",
            "telephone_number": "573-341-8518",
            "fax_number": "573-596-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 HARVEY LN",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014576",
            "telephone_number": "573-341-8518",
            "fax_number": "573-596-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUFDENGARTEN",
        "first_name": "MARY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MO",
            "license": "119175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.