Samantha Nicole Giese, BSN, RN

Key facts

NPI

1053972836

Entity type

Individual (NPI type 1)

Primary specialty

Home Health Registered Nurse 163WH0200X

License

241733 (WI)

Practice address

36037 Sherwood St
Whitehall, WI 54773-8437

Phone

(715) 530-0871

NPI assigned

Jun 24, 2019

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 24, 2019.

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1053972836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36037 SHERWOOD ST",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547738437",
            "telephone_number": "715-530-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36037 SHERWOOD ST",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547738437",
            "telephone_number": "715-530-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESE",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "241733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Whitehall, WI · Home Health Registered Nurse in Wisconsin