Monica L Patrick, BSN, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

041391360 Issued in IL

Practice address

8207 22ND Ave
Kenosha, WI 53143-6206

Phone

(731) 313-6324

NPI assigned

Apr 13, 2023

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

Other names 1

• Monica L Davidson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1346936200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 KENSINGTON LN",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600994739",
            "telephone_number": "731-313-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 22ND AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436206",
            "telephone_number": "731-313-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "MONICA",
        "middle_name": "L",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "IL",
            "license": "041391360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "DAVIDSON",
            "middle_name": "L",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pathways Consulting of Kenosha LLC
• Pathways Counseling Services
• Pathways Counseling Services
• Francisco Patino Jr., LPC-IT
• Grace Catherine Patnode, DPT
• Patti Mahlandtbutts
• Joseph L Paukner, MD
• Paul G. Spottswood, M.D., S.C.
• Steven Thomas Paul, DPT, ATC
• Mary B Pauloni, L.P.N.

• Ambulatory Care Registered Nurse in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Ambulatory Care Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.