Edith C Macdougal, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

70380030 Issued in WI

Practice address

1407 St. Andrew St.
Suite 100
La Crosse, WI 54601-4002

Phone

(608) 785-5939

Fax

(608) 785-6315

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Edith C Sipley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• La Crosse County Cmo

  • Health Maintenance Organization
  • La Crosse, WI
  • NPI 1225160492
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184840423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 ST. ANDREW ST.",
            "address_2": "SUITE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014002",
            "telephone_number": "608-785-5939",
            "fax_number": "608-785-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 ST. ANDREW ST.",
            "address_2": "SUITE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014002",
            "telephone_number": "608-785-5939",
            "fax_number": "608-785-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGAL",
        "first_name": "EDITH",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WI",
            "license": "70380030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "SIPLEY",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Lynch
• Molly Amber Lyngaas, PT
• Dana Marie Lyons
• Kelsey Angela Lyons, LMT
• Stephen A Lyrene, MD
• David Paul Macfarland, BS
• Katrina B Macfarland, PTA
• Shelby Danielle Mach, LCSW
• Betty Ann Macha, RN, BSN, MS
• Mariah Lynn Mack, MD

• Case Management Registered Nurse in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Case Management Registered Nurse in Wisconsin

• 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.

Verify at the official NPI Registry.