Vicky Rachelle Loveridge, NNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

3021033 Issued in WI

Practice address

5008 N Waterford Dr
Appleton, WI 54913-6610

Phone

(920) 830-3327

NPI assigned

Jun 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Vicky Rachelle Butler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1244851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244851200000",
    "number": "1245467570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 N WATERFORD DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549136610",
            "telephone_number": "920-830-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 N WATERFORD DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549136610",
            "telephone_number": "920-830-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVERIDGE",
        "first_name": "VICKY",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "NNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-13",
        "last_updated": "2009-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "WI",
            "license": "3021033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKY",
            "last_name": "BUTLER",
            "middle_name": "RACHELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Charles Loppnow, RPH
• Kevin C Lor, PC
• Graham Lorsung
• Tracey Losse, RDH
• Catherine Loughrin, O.D.
• Kristin Jill Lowe, LPC
• Ryan Lubbe
• Adam Edward Luboff, PHARMACIST
• Mary A Luck, PTA
• Kendall Luckeroth, OTR/L

• Critical Care Neonatal Nurse Practitioner in Appleton, WI
• Providers in Appleton, WI by specialty
• Critical Care Neonatal Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.