Active NPI
James Austin Koester
- Registered Nurse
- Ridgway, IL
National Provider Identifier
1811650443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041473574
- Practice address
- 900 W Race St
Ridgway, IL 62979-1150 - Phone
- (618) 272-8831
- NPI assigned
- Oct 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041473574 | IL | Primary |
Addresses
Primary practice location
900 W Race St
Ridgway, IL 62979-1150
Mailing address
900 W Race St
Ridgway, IL 62979-1150
Phone (618) 272-8831
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Ridgway | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041473574 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1811650443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W RACE ST",
"city": "RIDGWAY",
"state": "IL",
"postal_code": "629791150",
"telephone_number": "618-272-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W RACE ST",
"city": "RIDGWAY",
"state": "IL",
"postal_code": "629791150",
"telephone_number": "618-272-8831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOESTER",
"first_name": "JAMES",
"middle_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041473574",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Ridgway",
"affiliation": "N",
"endpointDescription": "Gallatin Manor",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "900 W Race St",
"city": "Ridgway",
"state": "IL",
"country_code": "US",
"postal_code": "629791150",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ridgway, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.