Judith C. Mann RN Independent Nurse LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

78528-030 Issued in WI

Legal business name

JUDITH C. MANN RN INDEPENDENT NURSE LLC

Practice address

W987 Hall Rd
Columbus, WI 53925-9509

Phone

(920) 623-3449

Fax

(920) 623-3742

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judith C. Mann, RN BSN

Title

RN

Phone

(920) 623-3449

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1215906706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W987 HALL RD",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539259509",
            "telephone_number": "920-623-3449",
            "fax_number": "920-623-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W987 HALL RD",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539259509",
            "telephone_number": "920-623-3449",
            "fax_number": "920-623-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH C. MANN RN INDEPENDENT NURSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "920-623-3449",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WI",
            "license": "78528-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # MEDICAID",
            "identifier": "40002800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Hubbard
• Heidi Hughes, PA-C
• Hannah Rebekah Hurst, DO
• Tiana M Imhoff, PA-C
• Melissa Marie Jacobs, R.N.
• Benjamin Kannenberg, MD
• Nicole Kessinger
• Nazi S Khan, MD
• Joel David Kirchberg, D.C.
• Timothy C Kirchberg, D.C.

• All providers in Columbus, WI
• Nursing Facility/Intermediate Care Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.