City of Waterloo

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF WATERLOO

Practice address

900 Industrial LN
Waterloo, WI 53594-1285

Phone

(920) 478-2535

NPI assigned

Apr 18, 2024

Organization subpart

No

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

Authorized official

Name

Lana Nelson

Title

City Treasurer

Phone

(920) 478-3025

Specialties & licenses 1

Addresses

Other names 1

• Waterloo Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1144075797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N MONROE ST",
            "city": "WATERLOO",
            "state": "WI",
            "postal_code": "535941125",
            "telephone_number": "920-478-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INDUSTRIAL LN",
            "city": "WATERLOO",
            "state": "WI",
            "postal_code": "535941285",
            "telephone_number": "920-478-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WATERLOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "CITY TREASURER",
        "authorized_official_telephone_number": "920-478-3025"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterloo Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Behrens, NURSE PRACTITIONER
• Emilie Benisch
• Sarah Borchert, RN
• Tasha Bynum, CNC, IHP, LMT
• Rebecca L Christian, LPN
• City of Waterloo
• Dean Health Systems, Inc.
• DRS Anderson & Arena
• Floxy Abilitynest LLC
• Cassandra Hartwig, NP

• Land Ambulance in Waterloo, WI
• Providers in Waterloo, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.