Active NPI
Patricia Gail Childs Janasky, C.R.N.P.
- Nurse Practitioner
- Samson, AL
National Provider Identifier
1942314596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-026932
- Practice address
- 98 E Morris St
Samson, AL 36477-1229 - Phone
- (334) 898-2728
- Fax
- (334) 898-2774
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-026932 | AL | Primary |
Addresses
Primary practice location
98 E Morris St
Samson, AL 36477-1229
Mailing address
98 E Morris St
Samson, AL 36477-1229
Phone (334) 898-2728
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51527297 | Other | AL | BLUE CROSS |
| 051555531 | Medicaid | AL |
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)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-026932 | AL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942314596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 E MORRIS ST",
"city": "SAMSON",
"state": "AL",
"postal_code": "364771229",
"telephone_number": "334-898-2728",
"fax_number": "334-898-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 E MORRIS ST",
"city": "SAMSON",
"state": "AL",
"postal_code": "364771229",
"telephone_number": "334-898-2728",
"fax_number": "334-898-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANASKY",
"first_name": "PATRICIA",
"middle_name": "GAIL CHILDS",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-026932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51527297",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051555531",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Samson, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.