Individual provider Active NPI

Cori Ann Bauch, RN

  • Registered Nurse
  • Birnamwood, WI
National Provider Identifier
1154657047
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
170226 Issued in WI
Practice address
P4746 County Rd N
Birnamwood, WI 54414-9442
Phone
(715) 573-0262
NPI assigned
Oct 27, 2009
Last updated
Oct 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 170226 WI Primary

Addresses

Primary practice location

P4746 County Rd N
Birnamwood, WI 54414-9442

Mailing address

P4746 County Rd N
Birnamwood, WI 54414-9442
Phone (715) 573-0262

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

LicenseStateTypeSpecialty
170226WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1154657047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P4746 COUNTY RD N",
            "city": "BIRNAMWOOD",
            "state": "WI",
            "postal_code": "544149442",
            "telephone_number": "715-573-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "P4746 COUNTY RD N",
            "city": "BIRNAMWOOD",
            "state": "WI",
            "postal_code": "544149442",
            "telephone_number": "715-573-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUCH",
        "first_name": "CORI",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "170226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birnamwood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.