Urogyn Consultations LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

UROGYN CONSULTATIONS LLC

Practice address

2020 County Road Z
Blue Mounds, WI 53517-9629

Phone

(608) 437-6035

Fax

(608) 437-6035

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Kelly L Kruse, NP

Title

Nurse Practitioner - Owner

Phone

(608) 437-6035

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316003510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 COUNTY ROAD Z",
            "city": "BLUE MOUNDS",
            "state": "WI",
            "postal_code": "535179629",
            "telephone_number": "608-437-6035",
            "fax_number": "608-437-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COUNTY ROAD Z",
            "city": "BLUE MOUNDS",
            "state": "WI",
            "postal_code": "535179629",
            "telephone_number": "608-437-6035",
            "fax_number": "608-437-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROGYN CONSULTATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSE PRACTITIONER - OWNER",
        "authorized_official_telephone_number": "608-437-6035",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41256200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Lease, DO
• Cecile Marie McManus, RD
• Phoenix Mental Health
• John Charles Rourke, RN
• Nathan Steinl
• Carol Jean Voltz, RN

• Nurse Practitioner in Blue Mounds, WI
• Providers in Blue Mounds, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.