Consultants in Neurology, SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CONSULTANTS IN NEUROLOGY, SC

Practice address

3805B Spring St Ste 250
Mt Pleasant, WI 53405-1643

Phone

(262) 631-8550

Fax

(262) 631-8557

NPI assigned

Jan 27, 2006

Organization subpart

No

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

Authorized official

Name

Kim Andersen

Title

Office Manager

Phone

(262) 631-8550

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1174594345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 250",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534051643",
            "telephone_number": "262-631-8550",
            "fax_number": "262-631-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 250",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534051643",
            "telephone_number": "262-631-8550",
            "fax_number": "262-631-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN NEUROLOGY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-631-8550"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS",
            "identifier": "121099615",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32761600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jena Renee Cluka, LCSW, MSW
• Nikia Coburn, LPN
• Michelle Compty, DPT
• Abigail Connolly
• Maeve Brenna Connolly, SLP
• Ariel Contreras, MT-BC
• Rachel Cooper, M.S.
• Carol Jean Cornejo
• Carla Correa, OTR
• Grace Elizabeth Cortez, LAT

• Neurology Physician in Mt Pleasant, WI
• Providers in Mt Pleasant, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.