Active NPI
Andrea Kamphuis, R.N.
- Registered Nurse
- Plymouth, WI
National Provider Identifier
1124461405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 178243-30
- Practice address
- 127 Beth Cir
Plymouth, WI 53073-2649 - Phone
- (920) 838-2152
- NPI assigned
- Apr 16, 2013
- 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 | 178243-30 | WI | Primary |
Addresses
Primary practice location
127 Beth Cir
Plymouth, WI 53073-2649
Mailing address
229 W Washington St
Apt 202
Port Washington, WI 53074-1852
Phone (920) 296-1250
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 |
|---|---|---|---|
| 178243-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1124461405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 W WASHINGTON ST",
"address_2": "APT 202",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530741852",
"telephone_number": "920-296-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 BETH CIR",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530732649",
"telephone_number": "920-838-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMPHUIS",
"first_name": "ANDREA",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-16",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "178243-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.