Stephanie Michelle Mundy, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

311978-031 Issued in WI

Practice address

N68W35460 County Road K
Oconomowoc, WI 53066-1210

Phone

(262) 966-2702

NPI assigned

Dec 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1194028530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531870444",
            "telephone_number": "262-271-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N68W35460 COUNTY ROAD K",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530661210",
            "telephone_number": "262-966-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "311978-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Morrissey
• Gregory Michael Moyer, M.D.
• Karina Jewell Mrosko, OTR/L
• Renee Marie Muehlbauer, RN
• Linda Mary Multhauf, RN
• Jenna L Muri, PA
• John W Murphy, MD
• Kelly Muston
• Cynthia Marie Mynatt, R.PH.
• Jean Marie Nagro, PTA

• Licensed Practical Nurse in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.