Individual provider Active NPI

Michele L Dunow

  • Registered Nurse
  • Eagle River, WI
National Provider Identifier
1104154186
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
16383430 Issued in WI
Practice address
131 Saltzberry Rd
Eagle River, WI 54521-9126
Phone
(715) 617-2284
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
16383430WIMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 16383430 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

131 Saltzberry Rd
Eagle River, WI 54521-9126

Mailing address

131 Saltzberry Rd
Eagle River, WI 54521-9126
Phone (715) 617-2284

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2009.

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1104154186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SALTZBERRY RD",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545219126",
            "telephone_number": "715-617-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SALTZBERRY RD",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545219126",
            "telephone_number": "715-617-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNOW",
        "first_name": "MICHELE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "16383430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.