Active NPI
Ethel May Wicks, RN
- Registered Nurse
- Milwaukee, WI
National Provider Identifier
1043443658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 114599-030
- Practice address
- 6882 N 61St St
Milwaukee, WI 53223-5402 - Phone
- (414) 760-6282
- Fax
- (414) 445-3893
- NPI assigned
- Aug 29, 2009
- 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 | 114599-030 | WI | Primary |
Addresses
Primary practice location
6882 N 61St St
Milwaukee, WI 53223-5402
Mailing address
6882 N 61St St
Milwaukee, WI 53223-5402
Phone (414) 760-6282
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114599-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251504000000",
"number": "1043443658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6882 N 61ST ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532235402",
"telephone_number": "414-760-6282",
"fax_number": "414-445-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6882 N 61ST ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532235402",
"telephone_number": "414-760-6282",
"fax_number": "414-445-3893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKS",
"first_name": "ETHEL",
"middle_name": "MAY",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-29",
"last_updated": "2009-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "114599-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.