Individual provider Active NPI

Emily Elizabeth Ipsa, RN

  • Registered Nurse
  • Sussex, WI
National Provider Identifier
1023248366
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
61665-030 Issued in WI
Practice address
W264N7125 Thousand Oaks Dr
Sussex, WI 53089-2427
Phone
(262) 820-0772
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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 61665-030 WI Primary

Addresses

Primary practice location

W264N7125 Thousand Oaks Dr
Sussex, WI 53089-2427

Mailing address

W264N7125 Thousand Oaks Dr
Sussex, WI 53089-2427
Phone (262) 820-0772

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
61665-030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1023248366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W264N7125 THOUSAND OAKS DR",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530892427",
            "telephone_number": "262-820-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W264N7125 THOUSAND OAKS DR",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530892427",
            "telephone_number": "262-820-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPSA",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "61665-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.