Individual provider Active NPI

Patricia Dennison, RN

  • Home Health Registered Nurse
  • Pewaukee, WI
National Provider Identifier
1396998308
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
182779-30 Issued in WI
Practice address
1355 Hillwood Blvd Apt B
Pewaukee, WI 53072-6514
Phone
(212) 810-9480
NPI assigned
Nov 4, 2008
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 182779-30 WI Primary
Licensed Practical Nurse 164W00000X 286540 NY

Addresses

Primary practice location

1355 Hillwood Blvd Apt B
Pewaukee, WI 53072-6514

Mailing address

1355 Hillwood Blvd Apt B
Pewaukee, WI 53072-6514
Phone (212) 810-9480

Other practice location 1

1187 Anderson Ave
Apt 6 C
Bronx, NY 10452-3833
Phone (718) 810-9480

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
182779-30WIMDHome Health Registered Nurse
286540NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1396998308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 HILLWOOD BLVD APT B",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726514",
            "telephone_number": "212-810-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 HILLWOOD BLVD APT B",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726514",
            "telephone_number": "212-810-9480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1187 Anderson Ave",
            "address_2": "Apt 6 C",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104523833",
            "country_code": "US",
            "telephone_number": "718-810-9480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "PATRICIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "182779-30",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "286540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.