Individual provider Active NPI

Beverly C. Pippert, RN

  • Registered Nurse
  • Oostburg, WI
National Provider Identifier
1346407236
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
105409-030 Issued in WI
Practice address
W1243 Town Line Rd
Oostburg, WI 53070-1908
Phone
(920) 564-3550
NPI assigned
May 19, 2008
Last updated
May 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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 105409-030 WI Primary

Addresses

Primary practice location

W1243 Town Line Rd
Oostburg, WI 53070-1908

Mailing address

W1243 Town Line Rd
Oostburg, WI 53070-1908
Phone (920) 564-3550

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
105409-030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1346407236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1243 TOWN LINE RD",
            "city": "OOSTBURG",
            "state": "WI",
            "postal_code": "530701908",
            "telephone_number": "920-564-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W1243 TOWN LINE RD",
            "city": "OOSTBURG",
            "state": "WI",
            "postal_code": "530701908",
            "telephone_number": "920-564-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPERT",
        "first_name": "BEVERLY",
        "middle_name": "C.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "105409-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oostburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.