Health Careers Academy of Northeast Wisconsin LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

HEALTH CAREERS ACADEMY OF NORTHEAST WISCONSIN LLC

Practice address

3121 W Spencer St Ste 170
Appleton, WI 54914-4323

Phone

(920) 940-8095

NPI assigned

Jul 1, 2024

Last updated

Jul 1, 2024By 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

Stacy Louise Hobbs, RNNPI 1043853856

Title

President

Phone

(920) 940-8095

Specialties & licenses 1

Addresses

Locations

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.

• Stacy Louise Hobbs, RN

  • Registered Nurse
  • Appleton, WI
  • NPI 1043853856
  NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1255176251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 MARISSA CT",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157409",
            "telephone_number": "469-861-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 W SPENCER ST STE 170",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144323",
            "telephone_number": "920-940-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CAREERS ACADEMY OF NORTHEAST WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-940-8095",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Appleton, WI
• Providers in Appleton, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.