Active NPI
Jo Ellen Biadasz, R.N.
- Registered Nurse
- Waupaca, WI
National Provider Identifier
1316108962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 94862-030
- Practice address
- 811 Harding St
Waupaca, WI 54981-2012 - Phone
- (715) 258-6300
- Fax
- (715) 258-6409
- NPI assigned
- Jun 17, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 94862-030 | WI | Primary |
Addresses
Primary practice location
811 Harding St
Waupaca, WI 54981-2012
Mailing address
811 Harding St
Waupaca, WI 54981-2012
Phone (715) 258-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42011200 | Medicaid | WI |
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 |
|---|---|---|---|
| 94862-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1316108962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 HARDING ST",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549812012",
"telephone_number": "715-258-6300",
"fax_number": "715-258-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 HARDING ST",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549812012",
"telephone_number": "715-258-6300",
"fax_number": "715-258-6409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIADASZ",
"first_name": "JO ELLEN",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "94862-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42011200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waupaca, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.