Individual provider Active NPI

Kelly Landphier, RN

  • Registered Nurse
  • Sun Prairie, WI
National Provider Identifier
1225449556
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
151854-30 Issued in WI
Practice address
865 Garden Dr Apt 116
Sun Prairie, WI 53590-4183
Phone
(608) 712-7505
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 151854-30 WI Primary

Addresses

Primary practice location

865 Garden Dr Apt 116
Sun Prairie, WI 53590-4183

Mailing address

865 Garden Dr Apt 116
Sun Prairie, WI 53590-4183
Phone (608) 712-7505

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

LicenseStateTypeSpecialty
151854-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1225449556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 GARDEN DR APT 116",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904183",
            "telephone_number": "608-712-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 GARDEN DR APT 116",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904183",
            "telephone_number": "608-712-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDPHIER",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "151854-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.