Uro GYN Consultations LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

84725-30 Issued in WI

Legal business name

URO GYN CONSULTATIONS LLC

Practice address

8301 Old Sauk Rd
Middleton, WI 53562-4389

Phone

(608) 662-8842

NPI assigned

May 30, 2013

Last updated

May 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Kruse, MS, APNPNPI 1255380291

Title

Owner

Phone

(608) 437-6035

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Lavonne Kruse, NP

  • Nurse Practitioner
  • Blue Mounds, WI
  • NPI 1255380291
  Authorized official Same address or phone

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1245677392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 COUNTY ROAD Z",
            "city": "BLUE MOUNDS",
            "state": "WI",
            "postal_code": "535179629",
            "telephone_number": "608-437-6035",
            "fax_number": "608-437-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 OLD SAUK RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535624389",
            "telephone_number": "608-662-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URO GYN CONSULTATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-437-6035",
        "authorized_official_credential": "MS, APNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "84725-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43961600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Wisconsin Hospitals and Clinics Authority
• University of Wisconsin Hospitals and Clinics Authority (UW Health Pharmacy Services)
• University of Wisconsin Medical Foundation Inc (UW Health Optical)
• University of Wisconsin Medical Foundation, Inc
• University Podiatry Associates, LLP
• Tia Marie Vaccaro-Mussehl, FNP-C
• Ashlee Marion Vaclavik, PHARMD
• Anita Joan Van Dyke, LPC
• Christine Van Haren, RPH
• Brian A Vasey, MD

• Nurse Practitioner in Middleton, WI
• Providers in Middleton, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.