Active NPI
Mary C. Gauss, RN
- Registered Nurse
- Milwaukee, WI
National Provider Identifier
1366876732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 93108-30
- Practice address
- 11414 W Park PL Ste 100
Milwaukee, WI 53224-3500 - Phone
- (414) 359-0800
- NPI assigned
- Aug 21, 2013
- 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 | 93108-30 | WI | Primary |
Addresses
Primary practice location
11414 W Park PL Ste 100
Milwaukee, WI 53224-3500
Mailing address
10703 N Hollyhock CT
Mequon, WI 53092-5516
Phone (414) 331-6307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163W00000X | Other | WI | REGISTERED NURSE |
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 |
|---|---|---|---|
| 93108-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1366876732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10703 N HOLLYHOCK CT",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925516",
"telephone_number": "414-331-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11414 W PARK PL STE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243500",
"telephone_number": "414-359-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUSS",
"first_name": "MARY",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-21",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "93108-30",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "163W00000X",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.