Carrie L Moenk, RD

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

170094-30 Issued in WI

Practice address

855 N Westhave Dr
Oshkosh, WI 54904

Phone

(920) 303-5626

NPI assigned

Dec 2, 2021

Last updated

Dec 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1023776416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "203-035-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N WESTHAVE DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54904",
            "telephone_number": "920-303-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOENK",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "WI",
            "license": "170094-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina V Mishin, PA-C
• Luke Mittelstaedt
• Thomas Mittelsteadt, SAC
• Jennifer Mladucky, NP
• Modern Dental Center Oshkosh LLC
• Muhammad I Moid, MD
• Laurie Mollenhauer, P.T., D.P.T.
• Jill Kristine Monroe, RN RCS
• Helen A Moore, RN
• Krista Kay Moore, SAC-IT

• Diabetes Educator Registered Nurse in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Diabetes Educator Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.