Active NPI
Dawn Marie Larkin, RN
- Registered Nurse
- Mount Pleasant, WI
National Provider Identifier
1225088586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 148321-030
- Practice address
- 5735 Durand Ave Ste a
Mount Pleasant, WI 53406-5011 - Phone
- (262) 598-1392
- Fax
- (262) 598-1395
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 148321-030 | WI | Primary |
Addresses
Primary practice location
5735 Durand Ave Ste a
Mount Pleasant, WI 53406-5011
Mailing address
814 Park Ave
South Milwaukee, WI 53172-1330
Phone (414) 426-1748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225088586 | Other | WI | CLINIC |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148321-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1225088586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 PARK AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531721330",
"telephone_number": "414-426-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5735 DURAND AVE STE A",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534065011",
"telephone_number": "262-598-1392",
"fax_number": "262-598-1395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "DAWN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "148321-030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINIC",
"identifier": "1225088586",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.