Active NPI
Ann Cecelia Braaten, RPH
- Psychiatric Pharmacist
- Greenville, WI
National Provider Identifier
1174640437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 12289-040
- Practice address
- N1797 Maple Terrace Rd
Greenville, WI 54942-8730 - Phone
- (920) 235-4910
- Fax
- (920) 237-2046
- NPI assigned
- Mar 23, 2007
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 12289-040 | WI | Primary |
Addresses
Primary practice location
N1797 Maple Terrace Rd
Greenville, WI 54942-8730
Mailing address
N1797 Maple Terrace Rd
Greenville, WI 54942-8730
Phone (920) 235-4910
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 Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12289-040 | WI | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174640437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N1797 MAPLE TERRACE RD",
"city": "GREENVILLE",
"state": "WI",
"postal_code": "549428730",
"telephone_number": "920-235-4910",
"fax_number": "920-237-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N1797 MAPLE TERRACE RD",
"city": "GREENVILLE",
"state": "WI",
"postal_code": "549428730",
"telephone_number": "920-235-4910",
"fax_number": "920-237-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAATEN",
"first_name": "ANN",
"middle_name": "CECELIA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "WI",
"license": "12289-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.