Cara Kjorlie, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

33254 Issued in WI

Practice address

W12277 Cty J
Lodi, WI 53555

Phone

(608) 963-2163

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1730722208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W12277 CTY RD J",
            "city": "LODI",
            "state": "WI",
            "postal_code": "53555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W12277 CTY J",
            "city": "LODI",
            "state": "WI",
            "postal_code": "53555",
            "telephone_number": "608-963-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJORLIE",
        "first_name": "CARA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "33254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Carl Harris, R.PH.
• Adonnas Kay Johnson, PHARMD
• Ronald Bruce Johnson, PHD
• Colleen R Jones
• Christine Michele Kinsman, RN
• Jocelyn Koerner
• Kathryn A Kraft, PT
• David P Krey, DO
• Aunakah Lilly, PTA
• Lodi Area EMS

• Licensed Practical Nurse in Lodi, WI
• Providers in Lodi, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.