Active NPI
Mary Haut
- Pediatric Registered Nurse
- Hubertus, WI
National Provider Identifier
1306277322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 177409-30
- Practice address
- 3015 Sunrise Dr
Hubertus, WI 53033-9649 - Phone
- (262) 751-2560
- NPI assigned
- Dec 2, 2013
- Last updated
- Dec 2, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 177409-30 | WI | Primary |
Addresses
Primary practice location
3015 Sunrise Dr
Hubertus, WI 53033-9649
Mailing address
3015 Sunrise Dr
Hubertus, WI 53033-9649
Phone (262) 751-2560
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 |
|---|---|---|---|
| 177409-30 | WI | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1306277322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 SUNRISE DR",
"city": "HUBERTUS",
"state": "WI",
"postal_code": "530339649",
"telephone_number": "262-751-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 SUNRISE DR",
"city": "HUBERTUS",
"state": "WI",
"postal_code": "530339649",
"telephone_number": "262-751-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUT",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "WI",
"license": "177409-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hubertus, WI
- Andrew Cmeyla
- Stefan William Czechorski, DDS
- Michelle Marie Defere, D.C.
- Amber Rose Erickson, DC
- Karley Anne Haugen, COTA
- Henke Home Healthcare LLC (Henke Home Healthcare)
- Dawn Marie Hennes, M.S., CCC-SLP
- Home Hearing Aid Services,Inc
- Home, Health, & Happiness, LLC (Home Helpers & Direct Link)
- Hubertus Chiropractic Center SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.