Active NPI
Emily Ladich
- Family Nurse Practitioner
- South Milwaukee, WI
National Provider Identifier
1194844134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 157648
- Practice address
- 2901 South Chicago Avenue Ste 1
South Milwaukee, WI 53172 - Phone
- (866) 825-3227
- Fax
- (484) 351-3800
- NPI assigned
- Mar 29, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 157648 | WI | Primary |
Addresses
Primary practice location
2901 South Chicago Avenue Ste 1
South Milwaukee, WI 53172
Mailing address
161 Washington Street, Eight Tower Bridge
Suite 1400
Conshohocken, PA 19428
Phone (484) 351-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157648 | Other | WI | RN LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3086 | WI | MD | Professional Counselor |
| 157648 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1194844134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 WASHINGTON STREET, EIGHT TOWER BRIDGE",
"address_2": "SUITE 1400",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "19428",
"telephone_number": "484-351-3200",
"fax_number": "484-351-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 SOUTH CHICAGO AVENUE STE 1",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "53172",
"telephone_number": "866-825-3227",
"fax_number": "484-351-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADICH",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "157648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "157648",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.