Active NPI
Jamie Reilmann
- Medical-Surgical Registered Nurse
- Breese, IL
National Provider Identifier
1942923909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 041392554
- Practice address
- 9515 Holy Cross LN
Breese, IL 62230-3618 - Phone
- (618) 792-3011
- NPI assigned
- Sep 23, 2022
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041392554 | IL | MD | Medical-Surgical Registered Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 041392554 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9515 Holy Cross LN
Breese, IL 62230-3618
Mailing address
9534 Meadowbrook LN
Bartelso, IL 62218-1227
Phone (618) 792-3011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2022.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1942923909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9534 MEADOWBROOK LN",
"city": "BARTELSO",
"state": "IL",
"postal_code": "622181227",
"telephone_number": "618-792-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9515 HOLY CROSS LN",
"city": "BREESE",
"state": "IL",
"postal_code": "622303618",
"telephone_number": "618-792-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILMANN",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "IL",
"license": "041392554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Breese, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.