Active NPI
Joan Elizabeth Millane-Herrera
- Occupational Therapist
- Pewaukee, WI
National Provider Identifier
1073804787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2349-26
- Practice address
- W283N2122 Beach Rd
Pewaukee, WI 53072-5143 - Phone
- (262) 370-2292
- NPI assigned
- Apr 28, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2349-26 | WI | Primary |
Addresses
Primary practice location
W283N2122 Beach Rd
Pewaukee, WI 53072-5143
Mailing address
W283N2122 Beach Rd
Pewaukee, WI 53072-5143
Phone (262) 370-2292
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2349-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1073804787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W283N2122 BEACH RD",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530725143",
"telephone_number": "262-370-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W283N2122 BEACH RD",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530725143",
"telephone_number": "262-370-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLANE-HERRERA",
"first_name": "JOAN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2349-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 28, 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.