Active NPI
Nicole Lee Sires, CSW
- Case Manager/Care Coordinator
- La Crosse, WI
National Provider Identifier
1255575254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 8694-120
- Practice address
- 1407 Saint Andrew St Ste 100
La Crosse, WI 54603-2378 - Phone
- (608) 785-6297
- NPI assigned
- Apr 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 8694-120 | WI | Primary |
Addresses
Primary practice location
1407 Saint Andrew St Ste 100
La Crosse, WI 54603-2378
Mailing address
215 Aspen St.
New Albin, IA 52160
Phone (563) 544-4496
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8694-120 | WI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1255575254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 ASPEN ST.",
"city": "NEW ALBIN",
"state": "IA",
"postal_code": "52160",
"telephone_number": "563-544-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 SAINT ANDREW ST STE 100",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546032378",
"telephone_number": "608-785-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRES",
"first_name": "NICOLE",
"middle_name": "LEE",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-22",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WI",
"license": "8694-120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.