Dawn Patrice Sagrillo, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

6552-33 Issued in WI

Practice address

130 W Silver Spring Dr
Suite 200
Whitefish Bay, WI 53217-4735

Phone

(414) 964-1111

Fax

(414) 964-1122

NPI assigned

Oct 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1445126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445126400000",
    "number": "1346611241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W SILVER SPRING DR",
            "address_2": "SUITE 200",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532174735",
            "telephone_number": "414-964-1111",
            "fax_number": "414-964-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W SILVER SPRING DR",
            "address_2": "SUITE 200",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532174735",
            "telephone_number": "414-964-1111",
            "fax_number": "414-964-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGRILLO",
        "first_name": "DAWN",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-18",
        "last_updated": "2015-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "6552-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Whitefish Bay, WI
• Providers in Whitefish Bay, WI by specialty
• Adult Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2015; 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.