Active NPI
Jessica Trapp
- Student in an Organized Health Care Education/Training Program
- New Berlin, WI
National Provider Identifier
1154718039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- T6104329471500
- Practice address
- 12405 W North LN
New Berlin, WI 53151-9047 - Phone
- (414) 218-7133
- NPI assigned
- Apr 18, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | T6104329471500 | WI | Primary |
Addresses
Primary practice location
12405 W North LN
New Berlin, WI 53151-9047
Mailing address
12405 W North LN
New Berlin, WI 53151-9047
Phone (414) 218-7133
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T6104329471500 | WI | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429315200000",
"number": "1154718039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12405 W NORTH LN",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531519047",
"telephone_number": "414-218-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12405 W NORTH LN",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531519047",
"telephone_number": "414-218-7133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAPP",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-18",
"last_updated": "2015-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": "T6104329471500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.