Individual provider Active NPI

Luann M Ladwig, APNP

  • Family Nurse Practitioner
  • Pewaukee, WI
National Provider Identifier
1114572369
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9455-33 Issued in WI
Practice address
W244N4840 Swan Rd
Pewaukee, WI 53072-1402
Phone
(262) 370-2311
NPI assigned
Aug 5, 2019
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9455-33 WI Primary

Addresses

Primary practice location

W244N4840 Swan Rd
Pewaukee, WI 53072-1402

Mailing address

3000 N Grandview Blvd
Waukesha, WI 53188-1615
Phone (262) 548-4564

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Waukesha

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
9455-33WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1114572369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRANDVIEW BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881615",
            "telephone_number": "262-548-4564",
            "fax_number": "262-544-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W244N4840 SWAN RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530721402",
            "telephone_number": "262-370-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADWIG",
        "first_name": "LUANN",
        "middle_name": "M",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9455-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Waukesha",
            "affiliation": "N",
            "address_1": "W244N4840 Swan Rd",
            "city": "Pewaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530721402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.