Active NPI
Annette Quinn, NP
- Obstetrics & Gynecology Nurse Practitioner
- Waukesha, WI
National Provider Identifier
1013172766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 88757030
- Practice address
- 725 American Ave
Prohealth Care Women's Center
Waukesha, WI 53188-5031 - Phone
- (262) 928-3500
- NPI assigned
- Jul 22, 2008
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 88757030 | WI | Primary |
Addresses
Primary practice location
725 American Ave
Prohealth Care Women's Center
Waukesha, WI 53188-5031
Mailing address
W345 S3531 Moraine Hillls Drive
Dousman, WI 53118
Phone (262) 928-3500
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88757030 | WI | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326672000000",
"number": "1013172766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W345 S3531 MORAINE HILLLS DRIVE",
"city": "DOUSMAN",
"state": "WI",
"postal_code": "53118",
"telephone_number": "262-928-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 AMERICAN AVE",
"address_2": "PROHEALTH CARE WOMEN'S CENTER",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885031",
"telephone_number": "262-928-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "ANNETTE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2012-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WI",
"license": "88757030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.