Suzanne Jellings, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

160574-30 Issued in WI

Practice address

526 W State St
Rockford, IL 61101-1214

Phone

(815) 968-9300

Fax

(815) 968-5314

NPI assigned

Feb 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1992077119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073877",
            "telephone_number": "815-387-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011214",
            "telephone_number": "815-968-9300",
            "fax_number": "815-968-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLINGS",
        "first_name": "SUZANNE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-363672",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "160574-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "96000668",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Michelle Jebb, PA-C
• Jeff Weishaar, Psy.D., P.C.
• Chianta A. Jefferson
• Valerie C Jefferson
• James J Jefko, OTR
• Melissa N Jendusa, CADC
• Brittany Nichole Jenkins
• Crystal Jewell Jenkins
• Leann Jenkins, MS, LCPC
• Jennie N. Marquez

• Registered Nurse in Rockford, IL
• Providers in Rockford, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.