Active NPI
Samara Elena Wankerl-Estrada, CNA
- Nurse's Aide
- Fitchburg, WI
National Provider Identifier
1013750728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- WI035194301805
- Practice address
- 5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395 - Phone
- (608) 276-4660
- NPI assigned
- Jun 18, 2024
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | WI035194301805 | WI | Primary |
Addresses
Primary practice location
5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Mailing address
182 9TH St Apt 1
Prairie Du Sac, WI 53578-2414
Phone (608) 434-3325
Other names 1
- Samara E Estrada
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
| License | State | Type | Specialty |
|---|---|---|---|
| WI035194301805 | WI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1013750728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 9TH ST APT 1",
"city": "PRAIRIE DU SAC",
"state": "WI",
"postal_code": "535782414",
"telephone_number": "608-434-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5395 E CHERYL PKWY",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115395",
"telephone_number": "608-276-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANKERL-ESTRADA",
"first_name": "SAMARA",
"middle_name": "ELENA",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WI",
"license": "WI035194301805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMARA",
"last_name": "ESTRADA",
"middle_name": "E",
"credential": "CNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.