Active NPI
Debra Joy Gierhahn, RN
- Registered Nurse
- Brookfield, WI
National Provider Identifier
1023274883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 68118-030
- Practice address
- 14640 Woodland PL
Brookfield, WI 53005-1112 - Phone
- (414) 491-8101
- NPI assigned
- Jul 31, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 68118-030 | WI | Primary |
Addresses
Primary practice location
14640 Woodland PL
Brookfield, WI 53005-1112
Mailing address
2428 N 88TH St
Wauwatosa, WI 53226-1956
Phone (414) 453-7877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35065900 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 68118-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1023274883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2428 N 88TH ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261956",
"telephone_number": "414-453-7877",
"fax_number": "262-786-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14640 WOODLAND PL",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530051112",
"telephone_number": "414-491-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIERHAHN",
"first_name": "DEBRA",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "68118-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35065900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.