Theresa M Lindbloom, RN APNP BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1758033 Issued in WI

Practice address

3220 W Vliet St
Milwaukee, WI 53208-2453

Phone

(414) 231-4000

Fax

(414) 231-4010

NPI assigned

Oct 14, 2006

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1043300494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 S 71ST ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532191955",
            "telephone_number": "414-416-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082453",
            "telephone_number": "414-231-4000",
            "fax_number": "414-231-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBLOOM",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "RN APNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1758033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lindauer, APNP
• Basia Lindberg, LMT,
• James B Lindberg, M.D.
• Kelly Lindberg
• Mary A Lindblad, PA-C
• Sara Lindeke, M.D.
• Emily Lindeman, M.S., CCC-SLP
• Megan Lindemann, RN
• Sarah Lindemann
• Drake Layne Lindholm

• Family Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.