Active NPI
Sierra A Villegas
- Registered Nurse
- Pewaukee, WI
National Provider Identifier
1053904698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 233132
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 233132 | WI | MD | Registered 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.