Jennifer Elizabeth Mayer, RN, APN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209.011392 Issued in IL

Practice address

1718 W Roscoe St
Apt. #2
Chicago, IL 60657-1016

Phone

(816) 582-6147

NPI assigned

Mar 18, 2014

Last updated

Jun 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Elizabeth Hruska Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1700203593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 W ROSCOE ST",
            "address_2": "APT. #2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571016",
            "telephone_number": "816-582-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 W ROSCOE ST",
            "address_2": "APT. #2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571016",
            "telephone_number": "816-582-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "RN, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.364240",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.011392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HRUSKA",
            "middle_name": "ELIZABETH",
            "credential": "RN, APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bernadette Mayer, MD
• Christopher Mayer, LCSW
• David Mayer
• Eric C Mayer, LSW
• Jamie Mayer, RN-BSN
• John E Mayer, PH.D.
• Laura Mayer
• Lea Mayer, NP
• Lucretia M Mayer, LPC
• Megan Mayer, MOT

• Pediatric Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.