Individual provider Active NPI

Cher Kristine Birno, LPN

  • Licensed Practical Nurse
  • West Bend, WI
National Provider Identifier
1013338201
Registry record updated Dec 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
306804-31 Issued in WI
Practice address
763 Imperial CT
West Bend, WI 53095-4319
Phone
(262) 388-0881
NPI assigned
Dec 15, 2013
Last updated
Dec 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 306804-31 WI Primary

Addresses

Primary practice location

763 Imperial CT
West Bend, WI 53095-4319

Mailing address

763 Imperial CT
West Bend, WI 53095-4319
Phone (262) 388-0881

Other names 1

  • Ms. Cher Kristine Boeldt Former name

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

LicenseStateTypeSpecialty
306804-31WIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1387065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387065600000",
    "number": "1013338201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 IMPERIAL CT",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954319",
            "telephone_number": "262-388-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 IMPERIAL CT",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954319",
            "telephone_number": "262-388-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNO",
        "first_name": "CHER",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-15",
        "last_updated": "2013-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "306804-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHER",
            "last_name": "BOELDT",
            "middle_name": "KRISTINE",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2013; 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.