Individual provider Active NPI

Jill Ann Arendt, RN COHN

  • Occupational Health Registered Nurse
  • Waukesha, WI
National Provider Identifier
1922512706
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Registered NurseTaxonomy code 163WX0106X
License
90478-30 Issued in WI
Practice address
412 Rawlins Dr
Waukesha, WI 53188-4644
Phone
(262) 875-5370
NPI assigned
Dec 1, 2017
Last updated
Dec 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Registered Nurse 163WX0106X 90478-30 WI Primary

Addresses

Primary practice location

412 Rawlins Dr
Waukesha, WI 53188-4644

Mailing address

1250 Pacific Ave
Long Beach, CA 90813-3026
Phone (562) 437-0831

Other names 1

  • Mrs. Jill A Arendt Former name

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
90478-30WIMDOccupational Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Care Onsite, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1922512706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133026",
            "telephone_number": "562-437-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 RAWLINS DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531884644",
            "telephone_number": "262-875-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENDT",
        "first_name": "JILL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN COHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "WI",
            "license": "90478-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "ARENDT",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "ZUCHOWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.