Active NPI
Lori A Heuser, BSN RN
- Registered Nurse
- Fontana, WI
National Provider Identifier
1023433554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 199468-30
- Practice address
- 200 Abbey Springs Dr
Fontana, WI 53125-1822 - Phone
- (224) 622-5866
- NPI assigned
- Feb 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 199468-30 | WI | Primary |
Addresses
Primary practice location
200 Abbey Springs Dr
Fontana, WI 53125-1822
Mailing address
200 Abbey Springs Dr
Fontana, WI 53125-1822
Phone (224) 622-5866
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199468-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1023433554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ABBEY SPRINGS DR",
"city": "FONTANA",
"state": "WI",
"postal_code": "531251822",
"telephone_number": "224-622-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ABBEY SPRINGS DR",
"city": "FONTANA",
"state": "WI",
"postal_code": "531251822",
"telephone_number": "224-622-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEUSER",
"first_name": "LORI",
"middle_name": "A",
"credential": "BSN RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-20",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "199468-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.