Active NPI
Right at Your Door
- Home Health Registered Nurse
- Milwaukee, WI
National Provider Identifier
1043733710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 124990
- Legal business name
- RIGHT AT YOUR DOOR
- Practice address
- 9235 W Capitol Dr Ste LL1
Milwaukee, WI 53222-1567 - Phone
- (414) 522-0455
- NPI assigned
- Jul 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edna M Hudson-Kinzey, MSN ED, RN
- Title
- Provider
- Phone
- (414) 522-0417
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 124990 | WI | Primary |
| Home Health Registered Nurse | 163WH0200X | 041338963 | IL |
Addresses
Primary practice location
9235 W Capitol Dr Ste LL1
Milwaukee, WI 53222-1567
Mailing address
12605 W North Ave # 282
Brookfield, WI 53005-4629
Phone (414) 522-0455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020368826365001 | Medicaid | IL | |
| 100067593 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
9224 W Burleigh St
Lowr
Milwaukee, WI 53222
9235 W Capitol Dr
Ste LL1
Milwaukee, WI 53222
Phone (414) 522-0455
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609804800000",
"number": "1043733710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12605 W NORTH AVE # 282",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054629",
"telephone_number": "414-522-0455",
"fax_number": "414-509-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9235 W CAPITOL DR STE LL1",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532221567",
"telephone_number": "414-522-0455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIGHT AT YOUR DOOR",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-24",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A",
"authorized_official_last_name": "HUDSON-KINZEY",
"authorized_official_first_name": "EDNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "414-522-0417",
"authorized_official_credential": "MSN ED, RN"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": "124990",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "IL",
"license": "041338963",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020368826365001",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100067593",
"state": "WI"
}
],
"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 Jan 5, 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.