Individual provider Active NPI

Sierra A Villegas

  • Registered Nurse
  • Pewaukee, WI
National Provider Identifier
1053904698
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
233132 Issued in WI
Practice address
N27W23957 Paul Rd Ste 100
Pewaukee, WI 53072-6223
Phone
(414) 737-6021
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 233132 WI Primary

Addresses

Primary practice location

N27W23957 Paul Rd Ste 100
Pewaukee, WI 53072-6223

Mailing address

201 S Jefferson St
Waterford, WI 53185-4127
Phone (414) 737-6021

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pewaukee BrightStar Care

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

LicenseStateTypeSpecialty
233132WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1053904698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S JEFFERSON ST",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854127",
            "telephone_number": "414-737-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N27W23957 PAUL RD STE 100",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726223",
            "telephone_number": "414-737-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "SIERRA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "233132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pewaukee",
            "affiliation": "Y",
            "affiliationName": "BrightStar Care",
            "address_1": "N27W23957 Paul Rd Ste 100",
            "city": "Pewaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530726223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.