Janna Shaye Kohler, RN-BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN245403 Issued in GA

Practice address

224 W D. L. Ingram Avenue, BLDG. 1408
Clovis, NM 88103

Phone

(575) 904-3612

Fax

(575) 784-6329

NPI assigned

Sep 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Janna Shaye Meders Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1902632086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W D. L. INGRAM AVENUE, BLDG. 1408",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88103",
            "telephone_number": "575-904-3612",
            "fax_number": "575-784-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W D. L. INGRAM AVENUE, BLDG. 1408",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88103",
            "telephone_number": "575-904-3612",
            "fax_number": "575-784-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "JANNA",
        "middle_name": "SHAYE",
        "credential": "RN-BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN245403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANNA",
            "last_name": "MEDERS",
            "middle_name": "SHAYE",
            "credential": "RN-BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Klassen, BMS
• Patrick T Klingler, SOLE PROPRIETOR
• Carla Knight
• Jean Marie Knight
• Tahnia Knipp, FNP-BC
• Tobore Godwin Kokoricha, MD
• Cortnee Lynn Krallman, CNP
• Tierny C Krasowsky, BT
• Dee Ann Ann Kreutzer, MS LMHC ATR
• Lorena A Kroeger, FNP-BC

• Registered Nurse in Clovis, NM
• Providers in Clovis, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.