Individual provider Active NPI

Emily McClory, NP

  • Family Nurse Practitioner
  • Burlington, WI
National Provider Identifier
1245653880
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6086-33 Issued in WI
Practice address
2088 Milwaukee Ave Unit I
Burlington, WI 53105-7791
Phone
(262) 757-4131
NPI assigned
Feb 3, 2014
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6086-33 WI Primary
Registered Nurse 163W00000X 174827-030 WI

Addresses

Primary practice location

2088 Milwaukee Ave Unit I
Burlington, WI 53105-7791

Mailing address

2088 Milwaukee Ave # Ij
Burlington, WI 53105-7790
Phone (262) 757-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118002885 WI Practitioner - Nurse Practitioner 9537694229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
174827-030WIMDRegistered Nurse
6086-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr W Fuhr Services LLC CurrentSince May 4, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 8, 2024 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

2088 Milwaukee Ave
Burlington, WI 53105
Phone (262) 757-4131

2088 Milwaukee Ave
Unit I
Burlington, WI 53105
Phone (262) 757-4131

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1245653880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 MILWAUKEE AVE # IJ",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531057790",
            "telephone_number": "262-757-4131",
            "fax_number": "262-757-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 MILWAUKEE AVE UNIT I",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531057791",
            "telephone_number": "262-757-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLORY",
        "first_name": "EMILY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6086-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "174827-030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

Verify at the official NPI Registry.