Individual provider Active NPI

Elizabeth Hesprich, MS

  • Student in an Organized Health Care Education/Training Program
  • Appleton, WI
National Provider Identifier
1073200812
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1000 W Wisconsin Ave Ste 1
Appleton, WI 54914-3551
Phone
(920) 257-4601
Fax
(920) 257-4603
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1000 W Wisconsin Ave Ste 1
Appleton, WI 54914-3551

Mailing address

W1343 County Road H
Lomira, WI 53048-9728
Phone (262) 388-9428

Other names 1

  • Elizabeth Kluever Former name

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
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connections, LLC CurrentSince Apr 23, 2023 Accepting new patients

Locations

1000 W Wisconsin Ave
Ste 1
Appleton, WI 54914
Phone (920) 257-4601

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.

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1073200812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1343 COUNTY ROAD H",
            "city": "LOMIRA",
            "state": "WI",
            "postal_code": "530489728",
            "telephone_number": "262-388-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WISCONSIN AVE STE 1",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143551",
            "telephone_number": "920-257-4601",
            "fax_number": "920-257-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESPRICH",
        "first_name": "ELIZABETH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KLUEVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.