Individual provider Active NPI

Kaleigh Marie Brunow

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1083035364
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
171894-030 Issued in WI
Practice address
1260 N Prospect Ave
Apt 706
Milwaukee, WI 53202-3020
Phone
(262) 646-3199
NPI assigned
Jan 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 171894-030 WI Primary

Addresses

Primary practice location

1260 N Prospect Ave
Apt 706
Milwaukee, WI 53202-3020

Mailing address

1260 N Prospect Ave
Apt 706
Milwaukee, WI 53202-3020
Phone (414) 708-1351

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

LicenseStateTypeSpecialty
171894-030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1083035364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 N PROSPECT AVE",
            "address_2": "APT 706",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023020",
            "telephone_number": "414-708-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 N PROSPECT AVE",
            "address_2": "APT 706",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023020",
            "telephone_number": "262-646-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNOW",
        "first_name": "KALEIGH",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "171894-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.