Individual provider Active NPI

Lenore Marie Hanewold, LPN

  • Licensed Practical Nurse
  • Janesville, WI
National Provider Identifier
1811122492
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
309510 Issued in WI
Practice address
1522 Bennett St
Janesville, WI 53545-1924
Phone
(608) 774-0487
NPI assigned
May 26, 2009
Last updated
May 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 309510 WI Primary

Addresses

Primary practice location

1522 Bennett St
Janesville, WI 53545-1924

Mailing address

1522 Bennett St
Janesville, WI 53545-1924
Phone (608) 774-0487

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

State licenses

LicenseStateTypeSpecialty
309510WIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1811122492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 BENNETT ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451924",
            "telephone_number": "608-774-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 BENNETT ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451924",
            "telephone_number": "608-774-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEWOLD",
        "first_name": "LENORE",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "309510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.