Active NPI
Elizabeth Ann Braun, NP
- Nurse Practitioner
- Madison, WI
National Provider Identifier
1063635605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 98910-030
- Practice address
- 2202 S Park St
Suite 400
Madison, WI 53713-1916 - Phone
- (608) 261-9256
- Fax
- (608) 261-9259
- NPI assigned
- Apr 11, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 98910-030 | WI | Primary |
Addresses
Primary practice location
2202 S Park St
Suite 400
Madison, WI 53713-1916
Mailing address
2202 S Park St
Suite 400
Madison, WI 53713-1916
Phone (608) 261-9256
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98910-030 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Wi, Inc. | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Milwaukee, WI
- NPI 1326169046
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063635605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 S PARK ST",
"address_2": "SUITE 400",
"city": "MADISON",
"state": "WI",
"postal_code": "537131916",
"telephone_number": "608-261-9256",
"fax_number": "608-261-9259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 S PARK ST",
"address_2": "SUITE 400",
"city": "MADISON",
"state": "WI",
"postal_code": "537131916",
"telephone_number": "608-261-9256",
"fax_number": "608-261-9259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "98910-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.