Organization Active NPI

Roxanne L Kramer

  • Durable Medical Equipment & Medical Supplies
  • Moline, IL
National Provider Identifier
1801980842
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ROXANNE L KRAMER
Practice address
435 17TH St
Moline, IL 61265-1347
Phone
(309) 764-2888
Fax
(309) 764-3294
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mrs. Roxanna L Kramer
Title
Owner/Manager
Phone
(309) 764-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

435 17TH St
Moline, IL 61265-1347

Mailing address

435 17TH St
Moline, IL 61265-1347
Phone (309) 764-2888

Other identifiers 2

IdentifierTypeStateIssuer
08121233OtherILBLUE CROSS BLUE SHIELD
99893OtherIAWELLMARK BC OF IA

Other names 1

  • Always A Woman Doing business as

National Provider Directory

National Provider Directory

Locations

435 17th St
Moline, IL 61265
Phone (309) 764-2888

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1801980842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 17TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651347",
            "telephone_number": "309-764-2888",
            "fax_number": "309-764-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 17TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651347",
            "telephone_number": "309-764-2888",
            "fax_number": "309-764-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANNE L KRAMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "ROXANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "309-764-2888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08121233",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC OF IA",
            "identifier": "99893",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Always A Woman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.