Active NPI
Amanda Winter, RN, RCS
- Registered Nurse
- Kenosha, WI
National Provider Identifier
1306480017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 219610
- Practice address
- 4902 65TH St
Kenosha, WI 53142-3151 - Phone
- (262) 995-4199
- NPI assigned
- Nov 5, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 219610 | WI | Primary |
Addresses
Primary practice location
4902 65TH St
Kenosha, WI 53142-3151
Mailing address
4902 65TH St
Kenosha, WI 53142-3151
Phone (262) 995-4199
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Kenosha | Other | Froedtert South, Inc. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 219610 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1306480017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4902 65TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531423151",
"telephone_number": "262-995-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4902 65TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531423151",
"telephone_number": "262-995-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTER",
"first_name": "AMANDA",
"credential": "RN, RCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "219610",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Kenosha",
"affiliation": "Y",
"endpointDescription": "www.froedtertsouth.com",
"affiliationName": "Froedtert South, Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Kenosha",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4902 65th St",
"city": "Kenosha",
"state": "WI",
"country_code": "US",
"postal_code": "531423151",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.