Active NPI
Sighle Mleziva
- Case Management Registered Nurse
- Manitowoc, WI
National Provider Identifier
1073879367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 80051-30
- Practice address
- 3415 Custer St
Suite C
Manitowoc, WI 54220-4356 - Phone
- (920) 652-2440
- NPI assigned
- Apr 11, 2012
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 80051-30 | WI | Primary |
Addresses
Primary practice location
3415 Custer St
Suite C
Manitowoc, WI 54220-4356
Mailing address
3415 Custer St
Suite C
Manitowoc, WI 54220-4356
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80051-30 | WI | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1073879367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 CUSTER ST",
"address_2": "SUITE C",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 CUSTER ST",
"address_2": "SUITE C",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204356",
"telephone_number": "920-652-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MLEZIVA",
"first_name": "SIGHLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "WI",
"license": "80051-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.