Judith Marie Jeglijewski, APRN, BC, MS, CDE

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

124987-21 Issued in MO

Practice address

222 S Woods Mill Rd
Suite 410N
Chesterfield, MO 63017-3625

Phone

(314) 469-6224

Fax

(314) 469-0744

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1902830151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 VILLAGE MEAD DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216129",
            "telephone_number": "314-469-6224",
            "fax_number": "314-469-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 410N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-469-6224",
            "fax_number": "314-469-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEGLIJEWSKI",
        "first_name": "JUDITH",
        "middle_name": "MARIE",
        "credential": "APRN, BC, MS, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN201534",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MO",
            "license": "RN046407",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "124987-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "166795",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey a. Vander Kooi LLC
• Jeffrey Zohner LLC
• Jeremy Hodess LCSW LLC
• Adria Jerkovich, M.D.
• Debra J Jeske, MS, RD, LD
• Jesus Ligot MD LLC
• Jewish Center for Aged

• Adult Health Nurse Practitioner in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.