Vicki L Mandli, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

88831-30 Issued in WI

Practice address

602 Lulu Ave
Crivitz, WI 54114-1584

Phone

(920) 246-0831

NPI assigned

Jul 9, 2021

Last updated

Jul 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1356912364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6981 RIVERS BEND LN",
            "city": "PORTERFIELD",
            "state": "WI",
            "postal_code": "541599333",
            "telephone_number": "920-591-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 LULU AVE",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541141584",
            "telephone_number": "920-246-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDLI",
        "first_name": "VICKI",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "88831-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Krueger, RN
• David Roland Lecloux, M.D.
• Paul James Leverson, MSPT
• Taylor Alexis Londo, DPT
• Seth Daniel Majerus, DPT
• Megs Pharmacy Inc (Crivitz Pharmacy)
• Amanda Ann Mueller, APNP
• Nicole Nelsen
• New Care, Inc. (NEWCare Convalescent Center)
• Newcare Inc (NEWCare Therapy Service)

• Home Health Registered Nurse in Crivitz, WI
• Providers in Crivitz, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.