Active NPI
Veronique Gettis, RN
- Registered Nurse
- Racine, WI
National Provider Identifier
1083968010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 139888030
- Practice address
- 5021 Byrd Ave
201
Racine, WI 53406-4878 - Phone
- (708) 897-6489
- NPI assigned
- Oct 29, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 139888030 | WI | Primary |
| Personal Care Attendant | 3747P1801X | 139888030 | WI |
Addresses
Primary practice location
5021 Byrd Ave
201
Racine, WI 53406-4878
Mailing address
5021 Byrd Ave
201
Racine, WI 53406-4878
Phone (708) 897-6489
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 |
|---|---|---|---|
| 139888030 | WI | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1083968010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5021 BYRD AVE",
"address_2": "201",
"city": "RACINE",
"state": "WI",
"postal_code": "534064878",
"telephone_number": "708-897-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5021 BYRD AVE",
"address_2": "201",
"city": "RACINE",
"state": "WI",
"postal_code": "534064878",
"telephone_number": "708-897-6489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GETTIS",
"first_name": "VERONIQUE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "139888030",
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "WI",
"license": "139888030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.