Individual provider Active NPI

Charlotte Ann Fleischmann, RN

  • Registered Nurse
  • Black River Falls, WI
National Provider Identifier
1184921132
Registry record updated Feb 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
127480-30 Issued in WI
Practice address
412 Pine St
Black River Falls, WI 54615-1035
Phone
(715) 284-1679
Fax
(715) 670-0079
NPI assigned
Feb 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2011

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 127480-30 WI Primary

Addresses

Primary practice location

412 Pine St
Black River Falls, WI 54615-1035

Mailing address

412 Pine St
Black River Falls, WI 54615-1035
Phone (715) 284-1679

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 Nurse

State licenses

LicenseStateTypeSpecialty
127480-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1298678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298678400000",
    "number": "1184921132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PINE ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151035",
            "telephone_number": "715-284-1679",
            "fax_number": "715-670-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 PINE ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151035",
            "telephone_number": "715-284-1679",
            "fax_number": "715-670-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHMANN",
        "first_name": "CHARLOTTE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-26",
        "last_updated": "2011-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "127480-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; 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.