Individual provider Active NPI

Jennifer Kraus

  • Health & Wellness Coach
  • Evanston, IL
National Provider Identifier
1801557566
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
1720 Central St Apt 416
Evanston, IL 60201-1539
Phone
(319) 505-7083
NPI assigned
Jan 5, 2022
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X NU Primary

Addresses

Primary practice location

1720 Central St Apt 416
Evanston, IL 60201-1539

Mailing address

1720 Central St Apt 416
Evanston, IL 60201-1539
Phone (319) 505-7083

Other identifiers 1

IdentifierTypeStateIssuer
123456789OtherNOT SURE WHAT'S BEING ASKED - CALL ME

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL krausjenniferm@gmail.com

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

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801557566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 CENTRAL ST APT 416",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011539",
            "telephone_number": "319-505-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CENTRAL ST APT 416",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011539",
            "telephone_number": "319-505-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT SURE WHAT'S BEING ASKED - CALL ME",
            "identifier": "123456789",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "krausjenniferm@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email until I work on secure site",
            "address_1": "1720 Central St Apt 416",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602011539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.