Active NPI
Payola Her
- Registered Nurse
- Oshkosh, WI
National Provider Identifier
1033626411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 226310
- Practice address
- 1287 Glane CT
Oshkosh, WI 54902-9188 - Phone
- (920) 456-9740
- NPI assigned
- Jan 6, 2018
- 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 | 226310 | WI | Primary |
Addresses
Primary practice location
1287 Glane CT
Oshkosh, WI 54902-9188
Mailing address
1287 Glane CT
Oshkosh, WI 54902-9188
Phone (920) 456-9740
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226310 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1033626411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1287 GLANE CT",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549029188",
"telephone_number": "920-456-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1287 GLANE CT",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549029188",
"telephone_number": "920-456-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HER",
"first_name": "PAYOLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-06",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "226310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.