Active NPI
Cynthia M Manzke, NP
- Pediatric Nurse Practitioner
- Madison, WI
National Provider Identifier
1205109964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 6310-33
- Practice address
- 451 Junction Rd
Madison, WI 53717-2656 - Phone
- (608) 263-6180
- Fax
- (608) 890-6276
- NPI assigned
- Feb 10, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 6310-33 | WI | Primary |
| Registered Nurse | 163W00000X | 153325-30 | WI |
Addresses
Primary practice location
451 Junction Rd
Madison, WI 53717-2656
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Phone (608) 829-5485
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1205109964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531",
"telephone_number": "608-829-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 JUNCTION RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537172656",
"telephone_number": "608-263-6180",
"fax_number": "608-890-6276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZKE",
"first_name": "CYNTHIA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-10",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WI",
"license": "6310-33",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "153325-30",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.