Individual provider Active NPI

Lauren Ashly Hotz

  • Registered Nurse
  • Sussex, WI
National Provider Identifier
1154746006
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
190594-30 Issued in WI
Practice address
N57W26331 Mount Du Lac Dr
Sussex, WI 53089-4029
Phone
(262) 352-8218
NPI assigned
Mar 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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 190594-30 WI Primary

Addresses

Primary practice location

N57W26331 Mount Du Lac Dr
Sussex, WI 53089-4029

Mailing address

N57W26331 Mount Du Lac Dr
Sussex, WI 53089-4029
Phone (262) 352-8218

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

LicenseStateTypeSpecialty
190594-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1154746006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N57W26331 MOUNT DU LAC DR",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530894029",
            "telephone_number": "262-352-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N57W26331 MOUNT DU LAC DR",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530894029",
            "telephone_number": "262-352-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTZ",
        "first_name": "LAUREN",
        "middle_name": "ASHLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "190594-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.