Individual provider Active NPI

Sandi K Kindig Oguzlu, FNPBC-APNP

  • Family Nurse Practitioner
  • Wauwatosa, WI
National Provider Identifier
1184049595
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5674-33 Issued in WI
Practice address
2949 N Mayfair Rd
Wauwatosa
Wauwatosa, WI 53222-4304
Phone
(414) 391-2618
NPI assigned
Feb 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5674-33 WI Primary

Addresses

Primary practice location

2949 N Mayfair Rd
Wauwatosa
Wauwatosa, WI 53222-4304

Mailing address

PO Box 5481
Madison
Madison, WI 53705-0481
Phone (608) 298-8441

Other names 1

  • Sandi K Oguzlu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140505002155 WI Practitioner - Nurse Practitioner 2860625498 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
129264WIMDClinical Social Worker
5674-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Feb 6, 2024 Accepting new patients
Emergency Physician Associates of Wisconsin SC CurrentSince Jan 1, 2016 Accepting new patients
Oak Medical SC CurrentSince Mar 1, 2024 Accepting new patients

Locations

700 Clark St
Lodi, WI 53555
Phone (608) 592-3241

N84W17049 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 255-1180

1505 Orrin Rd
Prescott, WI 54021
Phone (715) 262-1107

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

Interoperability endpoints

  • Direct secure messaging: skindigoguzlu757730@direct.emplifyhealth.org
  • Direct secure messaging: sandi.kindigoguzlu.2@14940.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1184049595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5481",
            "address_2": "MADISON",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537050481",
            "telephone_number": "608-298-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 N MAYFAIR RD",
            "address_2": "WAUWATOSA",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224304",
            "telephone_number": "414-391-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDIG OGUZLU",
        "first_name": "SANDI",
        "middle_name": "K",
        "credential": "FNPBC-APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5674-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDI",
            "last_name": "OGUZLU",
            "middle_name": "K",
            "credential": "FNPBC-APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.