Active NPI
Patricia Dennison, RN
- Home Health Registered Nurse
- Pewaukee, WI
National Provider Identifier
1396998308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 182779-30
- Practice address
- 1355 Hillwood Blvd Apt B
Pewaukee, WI 53072-6514 - Phone
- (212) 810-9480
- NPI assigned
- Nov 4, 2008
- Last updated
- Feb 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 182779-30 | WI | MD | Home Health Registered Nurse |
| 286540 | NY | MD | Licensed 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.