Individual provider Active NPI

Julia M La Maide, RN

  • General Practice Registered Nurse
  • Greenville, WI
National Provider Identifier
1235395112
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
116716-030 Issued in WI
Practice address
N919 Pebble Ridge Rd
Greenville, WI 54942-8672
Phone
(920) 757-5746
NPI assigned
Jul 31, 2008
Last updated
Oct 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 116716-030 WI Primary

Addresses

Primary practice location

N919 Pebble Ridge Rd
Greenville, WI 54942-8672

Mailing address

N919 Pebble Ridge Rd
Greenville, WI 54942-8672
Phone (920) 757-5746

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
116716-030WIMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1235395112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N919 PEBBLE RIDGE RD",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428672",
            "telephone_number": "920-757-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N919 PEBBLE RIDGE RD",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428672",
            "telephone_number": "920-757-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA MAIDE",
        "first_name": "JULIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "116716-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.