Individual provider Active NPI

Alberta B Essuman, APNP

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1154515104
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3201-33 Issued in WI
Practice address
8500 W Capitol Dr Ste 100
Milwaukee, WI 53222-1869
Phone
(414) 431-5004
Fax
(414) 431-2959
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3201 WI
Family Nurse Practitioner 363LF0000X 3201-33 WI Primary
Emergency Medicine Physician 207P00000X 320133 WI

Addresses

Primary practice location

8500 W Capitol Dr Ste 100
Milwaukee, WI 53222-1869

Mailing address

2511 W Margaretta CT
Glendale, WI 53209-2025
Phone (414) 247-1557

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
320133WIMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1154515104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 W MARGARETTA CT",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532092025",
            "telephone_number": "414-247-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W CAPITOL DR STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221869",
            "telephone_number": "414-431-5004",
            "fax_number": "414-431-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSUMAN",
        "first_name": "ALBERTA",
        "middle_name": "B",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3201",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3201-33",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "320133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

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