Active NPI
Batenga N Obuseh, MT
- Technician/Technologist
- Fitchburg, WI
National Provider Identifier
1285367102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- Practice address
- 3029 Yarmouth Greenway Dr
Fitchburg, WI 53711-6924 - Phone
- (608) 210-9779
- NPI assigned
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Driver | 172A00000X | |||
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | 228634 | DE | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 228634 | DE | |
| Medical Technologist | 246QM0706X | 228634 | DE | |
| Medical Laboratory Technician | 246RM2200X | |||
| Phlebotomy Technician | 246RP1900X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X | |||
| Technician/Technologist | 156F00000X | Primary |
Addresses
Primary practice location
3029 Yarmouth Greenway Dr
Fitchburg, WI 53711-6924
Mailing address
3029 Yarmouth Greenway Dr
Fitchburg, WI 53711-6924
Phone (608) 210-9779
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228634 | DE | MD | Medical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rubyrose Oasis LLC | Respite Care | Current | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1285367102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3029 YARMOUTH GREENWAY DR",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537116924",
"telephone_number": "608-210-9779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3029 YARMOUTH GREENWAY DR",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537116924",
"telephone_number": "608-210-9779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBUSEH",
"first_name": "BATENGA",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "207KI0005X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
"state": "DE",
"license": "228634",
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "DE",
"license": "228634",
"primary": false
},
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "DE",
"license": "228634",
"primary": false
},
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.