Individual provider Active NPI

Mary Ann Mowery, RN

  • Registered Nurse
  • Greenfield, WI
National Provider Identifier
1023154150
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
73829-030 Issued in WI
Practice address
4931 S 27TH St Ste 400
Greenfield, WI 53221-2653
Phone
(414) 672-7200
Fax
(414) 672-7400
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 73829-030 WI Primary

Addresses

Primary practice location

4931 S 27TH St Ste 400
Greenfield, WI 53221-2653

Mailing address

4931 S 27TH St Ste 400
Greenfield, WI 53221-2653
Phone (414) 672-7200

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
73829-030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023154150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST STE 400",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212653",
            "telephone_number": "414-672-7200",
            "fax_number": "414-672-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST STE 400",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212653",
            "telephone_number": "414-672-7200",
            "fax_number": "414-672-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWERY",
        "first_name": "MARY ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "73829-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.