Individual provider Active NPI

Debra Lynn Frank, RN, CWON

  • Wound Care Registered Nurse
  • Wauwatosa, WI
National Provider Identifier
1093076762
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
63149-30 Issued in WI
Practice address
6614 Cedar St
Wauwatosa, WI 53213-3252
Phone
(414) 382-5365
NPI assigned
May 30, 2012
Last updated
May 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 63149-30 WI Primary

Addresses

Primary practice location

6614 Cedar St
Wauwatosa, WI 53213-3252

Mailing address

6614 Cedar St
Wauwatosa, WI 53213-3252
Phone (414) 382-5365

Other identifiers 1

IdentifierTypeStateIssuer
63149-30OtherWIRN LICENSE

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

LicenseStateTypeSpecialty
63149-30WIMDWound Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1093076762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 CEDAR ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133252",
            "telephone_number": "414-382-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 CEDAR ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133252",
            "telephone_number": "414-382-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "RN, CWON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "WI",
            "license": "63149-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "63149-30",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.