Vicky M. Plas

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

115882 Issued in WI

Practice address

N9129 Just Rd
Wausaukee, WI 54177-9037

Phone

(715) 938-0303

NPI assigned

Nov 12, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2007.

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1154501773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N9129 JUST RD",
            "city": "WAUSAUKEE",
            "state": "WI",
            "postal_code": "541779037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N9129 JUST RD",
            "city": "WAUSAUKEE",
            "state": "WI",
            "postal_code": "541779037",
            "telephone_number": "715-938-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAS",
        "first_name": "VICKY",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "115882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35040600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Dunlap, LMT
• Christopher Allen Hager, RN
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• Jenna Parks
• Diane Sharon Runge, LPN
• Wausaukee Pharmacy Inc
• Wausaukee Rescue Squad, Inc.
• Wausaukee School District

• All providers in Wausaukee, WI
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.