Active NPI
Deanna Marie Halvorsen, RN
- Registered Nurse
- Monona, WI
National Provider Identifier
1124650783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 178841-30
- Practice address
- 123 Shato LN
Monona, WI 53716-3795 - Phone
- (608) 415-8822
- NPI assigned
- Feb 11, 2020
- 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 | 178841-30 | WI | Primary |
Addresses
Primary practice location
123 Shato LN
Monona, WI 53716-3795
Mailing address
E8062 Klein Rd
North Freedom, WI 53951-9617
Phone (608) 415-8822
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 |
|---|---|---|---|
| 178841-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1124650783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E8062 KLEIN RD",
"city": "NORTH FREEDOM",
"state": "WI",
"postal_code": "539519617",
"telephone_number": "608-415-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SHATO LN",
"city": "MONONA",
"state": "WI",
"postal_code": "537163795",
"telephone_number": "608-415-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALVORSEN",
"first_name": "DEANNA",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "WI",
"license": "178841-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.