Individual provider Active NPI

Linda Gay Ziesmer, R.N.

  • Registered Nurse
  • Lena, WI
National Provider Identifier
1245465665
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
14639-030 Issued in WI
Practice address
5540 Burg Rd
Lena, WI 54139-9432
Phone
(920) 373-5704
NPI assigned
May 29, 2009
Last updated
May 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2009

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 14639-030 WI Primary

Addresses

Primary practice location

5540 Burg Rd
Lena, WI 54139-9432

Mailing address

5540 Burg Rd
Lena, WI 54139-9432
Phone (920) 373-5704

Other identifiers 1

IdentifierTypeStateIssuer
35054300MedicaidWI

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
14639-030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1245465665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 BURG RD",
            "city": "LENA",
            "state": "WI",
            "postal_code": "541399432",
            "telephone_number": "920-373-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 BURG RD",
            "city": "LENA",
            "state": "WI",
            "postal_code": "541399432",
            "telephone_number": "920-373-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIESMER",
        "first_name": "LINDA",
        "middle_name": "GAY",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "14639-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35054300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lena, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.