Active NPI
Heidi A Sykora, RN, GNP-BC, APNP
- Gerontology Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1255579108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 2365
- Practice address
- 2020 W Wells St
Milwaukee, WI 53233-2720 - Phone
- (414) 431-7416
- Fax
- (414) 755-1885
- NPI assigned
- Jan 30, 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2365 | WI | Primary |
Addresses
Primary practice location
2020 W Wells St
Milwaukee, WI 53233-2720
Mailing address
2020 W. Wells St
Milwaukee Center for Independence
Milwaukee, WI 53233
Phone (414) 431-7416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255579108 | Other | WI | NPI |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2365 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Comprehensive Pain Care SC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Milwaukee, WI
- NPI 1356397954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1255579108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W. WELLS ST",
"address_2": "MILWAUKEE CENTER FOR INDEPENDENCE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53233",
"telephone_number": "414-431-7416",
"fax_number": "414-755-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W WELLS ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532332720",
"telephone_number": "414-431-7416",
"fax_number": "414-755-1885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYKORA",
"first_name": "HEIDI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "RN, GNP-BC, APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "2365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1255579108",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.