Kristine Kay Jandl

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

1353345 Issued in MN

Practice address

317 Irene Ave
Ironton, MN 56455-2612

Phone

(218) 546-6242

Fax

(218) 772-0326

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aide Home Care LLC

  • Home Health Agency
  • Ironton, MN
  • NPI 1669628921
  NPD (past)
• Aide Home Health Care LLC

  • Home Health Agency
  • Ironton, MN
  • NPI 1124458005
  NPD (past)

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1770360240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "IRONTON",
            "state": "MN",
            "postal_code": "564550001",
            "telephone_number": "218-546-6242",
            "fax_number": "218-772-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 IRENE AVE",
            "city": "IRONTON",
            "state": "MN",
            "postal_code": "564552612",
            "telephone_number": "218-546-6242",
            "fax_number": "218-772-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDL",
        "first_name": "KRISTINE",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "1353345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pege Connolly
• Sue Evans, RN
• Mark A Fuller, D.C., LAC
• Kya Michelle Henningson, APRN, CNP
• Leah A Jacobson, IBCLC
• Alicia Joy Wiseley-Peterson, RN

• Home Health Registered Nurse in Ironton, MN
• Providers in Ironton, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.