Active NPI
Marlene Inez Burgos-Stewart, RN
- Registered Nurse
- Madison, WI
National Provider Identifier
1063708873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 145352-30
- Practice address
- 4413 American Ash Dr
Madison, WI 53704-1169 - Phone
- (608) 334-8011
- NPI assigned
- Jun 21, 2011
- Last updated
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 145352-30 | WI | Primary |
Addresses
Primary practice location
4413 American Ash Dr
Madison, WI 53704-1169
Mailing address
3603 Meier Rd
South Wayne, WI 53587-9775
Phone (608) 293-1193
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145352-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1063708873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3603 MEIER RD",
"city": "SOUTH WAYNE",
"state": "WI",
"postal_code": "535879775",
"telephone_number": "608-293-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4413 AMERICAN ASH DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537041169",
"telephone_number": "608-334-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOS-STEWART",
"first_name": "MARLENE",
"middle_name": "INEZ",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "145352-30",
"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 Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.