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JENNIFER MENGEDOHT LPN
NPI 1376891994
Licensed Practical Nurse in Rockford, IL

Active since August 29, 2012
3815 HARRISON AVE, ROCKFORD, IL 61108(815) 391-1000(815) 391-5040 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Mengedoht Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MENGEDOHT LPN (NPI 1376891994) is an individual licensed practical nurse in Rockford, Illinois, licensed in Illinois (043-106278) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1376891994
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJENNIFER MENGEDOHTCredential: LPN
Location Address3815 HARRISON AVERockford, IL 61108-7631
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 387-5600
Phone(815) 391-1000
Fax(815) 391-5040
Sole ProprietorNo
Enumeration DateAugust 29, 2012
✔ NPI 1376891994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043-106278
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3815 HARRISON AVE, Rockford, IL 61108
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRY LYNN BUNGER
Registered Nurse (Addiction (Substance Use Disorder))
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
MEGAN WHITE RN
Licensed Practical Nurse
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
ROSECRANCE, INC.
Substance Abuse Rehabilitation Facility
3815 HARRISON AVE, CRU
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
LAURA OLSON RN
Registered Nurse
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
MARK HONZEL
Counselor
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
ANDREW WALTERS
Registered Nurse
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
ROSECRANCE, INC.
Substance Abuse Rehabilitation Facility
3815 HARRISON AVE, DETOX A2 - 2ND FLOOR NORTHWEST A2
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
CARLENE CARDOSI
Social Worker (Clinical)
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (805) 391-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mengedoht's NPI number?

The NPI number for Jennifer Mengedoht is 1376891994. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Jennifer Mengedoht located?

Jennifer Mengedoht practices at 3815 Harrison Ave, Rockford, IL 61108. The listed phone number is (815) 391-1000.

What is Jennifer Mengedoht's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Mengedoht was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.