1235523267 NPI number — MRS. JANELLE MARIE ESKER MS, RDN, LDN

Table of content: MRS. JANELLE MARIE ESKER MS, RDN, LDN (NPI 1235523267)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235523267 NPI number — MRS. JANELLE MARIE ESKER MS, RDN, LDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESKER
Provider First Name:
JANELLE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, RDN, LDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MEDERNACH
Provider Other First Name:
JANELLE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, RDN, LDN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1235523267
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1488 MADISON STREET
Provider Second Line Business Mailing Address:
UNIT 207
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80206
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
309-472-7425
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1488 MADISON STREET
Provider Second Line Business Practice Location Address:
UNIT 207
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
309-472-7425
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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