Erica Janisch

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1039 W Mason St
Green Bay, WI 54303-1842

Phone

(920) 965-7707

NPI assigned

May 22, 2017

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2017.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1700313673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 CHARLES DR",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542171352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031842",
            "telephone_number": "920-965-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANISCH",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra S James-John, CRNA
• Ashley Jan, DDS
• Stephen F Janas, M.D.
• John Michael Janczakowski, MD
• Lacey L Jandrin, PA-C
• Michael A Janitch, MD
• Keith Jankuski, PT
• Lindsey B Janowski, PHARMD
• Rachel Marie Janowski, NP
• Risa Lynn Janowski, M.S., L.P.C.

• All providers in Green Bay, WI
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.