Active NPI
Judith A Mackay, RN
- Registered Nurse
- Franklin, WI
National Provider Identifier
1093982860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 153630-030
- Practice address
- 9383 S Springhill LN
Franklin, WI 53132-9141 - Phone
- (414) 423-0852
- NPI assigned
- May 12, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 153630-030 | WI | Primary |
Addresses
Primary practice location
9383 S Springhill LN
Franklin, WI 53132-9141
Mailing address
9383 S Springhill LN
Franklin, WI 53132-9141
Phone (414) 423-0852
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38280000 | Medicaid | WI | |
| 153630-030 | Other | WI | DEPT OF REGULATION & LICENSING |
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 |
|---|---|---|---|
| 153630-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1093982860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9383 S SPRINGHILL LN",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531329141",
"telephone_number": "414-423-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9383 S SPRINGHILL LN",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531329141",
"telephone_number": "414-423-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKAY",
"first_name": "JUDITH",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "153630-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38280000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF REGULATION & LICENSING",
"identifier": "153630-030",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.