Individual provider Active NPI

Mary Aye

  • Primary Care Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1225483944
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2014004353 Issued in WI
Practice address
1555 N Rivercenter Dr Ste 206
Milwaukee, WI 53212-3958
Phone
(414) 231-1171
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2014004353 WI
Gerontology Nurse Practitioner 363LG0600X 2014004353 WI
Primary Care Nurse Practitioner 363LP2300X 2014004353 WI Primary
Registered Nurse 163W00000X 175077-30 WI

Addresses

Primary practice location

1555 N Rivercenter Dr Ste 206
Milwaukee, WI 53212-3958

Mailing address

1555 N Rivercenter Dr Ste 206
Milwaukee, WI 53212-3958
Phone (414) 231-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
175077-30WIMDRegistered Nurse
2014004353WIMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1225483944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 N RIVERCENTER DR STE 206",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123958",
            "telephone_number": "414-231-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N RIVERCENTER DR STE 206",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123958",
            "telephone_number": "414-231-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYE",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "2014004353",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "2014004353",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "2014004353",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "175077-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.