Individual provider Active NPI

Amy Thesing, RN

  • Registered Nurse
  • Onalaska, WI
National Provider Identifier
1295156198
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
176233-30 Issued in WI
Practice address
N5881 Lakeview CT E
Onalaska, WI 54650-9642
Phone
(608) 304-5053
Fax
(608) 519-5012
NPI assigned
Dec 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 176233-30 WI Primary

Addresses

Primary practice location

N5881 Lakeview CT E
Onalaska, WI 54650-9642

Mailing address

N5881 Lakeview CT E
Onalaska, WI 54650-9642
Phone (608) 304-5053

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
176233-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Diverse Care LLC. 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.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1295156198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5881 LAKEVIEW CT E",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546509642",
            "telephone_number": "608-304-5053",
            "fax_number": "608-519-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N5881 LAKEVIEW CT E",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546509642",
            "telephone_number": "608-304-5053",
            "fax_number": "608-519-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THESING",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "176233-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.