Individual provider Active NPI

Janelle Kay McCormick, R.N.

  • Registered Nurse
  • Grand Junction, CO
National Provider Identifier
1861686859
Registry record updated Sep 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
96666 Issued in CO
Practice address
222 S 6TH St
Colorado Department of Health
Grand Junction, CO 81501-2704
Phone
(970) 248-7148
NPI assigned
Sep 1, 2007
Last updated
Sep 1, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 96666 CO Primary

Addresses

Primary practice location

222 S 6TH St
Colorado Department of Health
Grand Junction, CO 81501-2704

Mailing address

115 Red Mesa Heights Rd
Grand Junction, CO 81503-1597
Phone (970) 242-3302

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
96666COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1188604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188604800000",
    "number": "1861686859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RED MESA HEIGHTS RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815031597",
            "telephone_number": "970-242-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S 6TH ST",
            "address_2": "COLORADO DEPARTMENT OF HEALTH",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012704",
            "telephone_number": "970-248-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JANELLE",
        "middle_name": "KAY",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-01",
        "last_updated": "2007-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "96666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2007; 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.