Individual provider Active NPI

Lori A Heuser, BSN RN

  • Registered Nurse
  • Fontana, WI
National Provider Identifier
1023433554
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
199468-30 Issued in WI
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

Updated by the provider on Mar 11, 2014

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 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

LicenseStateTypeSpecialty
199468-30WIMDRegistered 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.

Verify at the official NPI Registry.