Active NPI
Wisconsin Center for the Blind and Visually Impaired
- School Registered Nurse
- Janesville, WI
National Provider Identifier
1194998716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- Legal business name
- WISCONSIN CENTER FOR THE BLIND AND VISUALLY IMPAIRED
- Practice address
- 1700 W State St
Janesville, WI 53546-5344 - Phone
- (608) 758-6100
- Fax
- (608) 758-6158
- NPI assigned
- Apr 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhonda K Mulligan, R.N.
- Title
- Nursing Supervisor
- Phone
- (608) 758-6100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | WI | Primary |
Addresses
Primary practice location
1700 W State St
Janesville, WI 53546-5344
Mailing address
1700 W State St
Janesville, WI 53546-5344
Phone (608) 758-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44218100 | Medicaid | WI |
Other names 1
- Wisconsin School for the Visually Handicapped
National Provider Directory
National Provider Directory- Tax ID family
- Wisconsin School for the Deaf
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Delavan, WI
- NPI 1487802427
Locations
1700 W State St
Janesville, WI 53546
Phone (608) 758-6100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207180800000",
"number": "1194998716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 W STATE ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535465344",
"telephone_number": "608-758-6100",
"fax_number": "608-758-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W STATE ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535465344",
"telephone_number": "608-758-6100",
"fax_number": "608-758-6158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISCONSIN CENTER FOR THE BLIND AND VISUALLY IMPAIRED",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-03",
"last_updated": "2008-04-03",
"status": "A",
"authorized_official_last_name": "MULLIGAN",
"authorized_official_first_name": "RHONDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "NURSING SUPERVISOR",
"authorized_official_telephone_number": "608-758-6100",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, School",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44218100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wisconsin School for the Visually Handicapped",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.