Kathryn J Aispuro, RN, CNM
Individual provider Active NPI Advanced Practice Midwife · West Allis, WI
NPI 1407046196 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1407046196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 148919-32 (WI)
- Practice address
- 11211 W Lincoln Ave
West Allis, WI 53227-1035 - Phone
- (414) 454-8300
- NPI assigned
- Jul 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230426001391 | WI | Practitioner - Nurse Practitioner | 6507150927 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200541181RN | OR | MD | Registered Nurse |
| 200750139NP | OR | MD | Advanced Practice Midwife |
| 148919-32 | WI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
W180N8085 Town Hall Rd
Fl 3
Menomonee Falls, WI 53051
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
11211 W Lincoln Ave
West Allis, WI 53227
Phone (414) 454-8300
Interoperability endpoints
- kaispuro578499@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200541181RN | OR | |
| Advanced Practice Midwife | 367A00000X | 200750139NP | OR | |
| Advanced Practice Midwife | 367A00000X | 148919-32 | WI | Yes |
Addresses
Primary practice location
11211 W Lincoln Ave
West Allis, WI 53227-1035
Mailing address
11211 W Lincoln Ave
West Allis, WI 53227-1035
Phone (414) 454-8300
Other names
- Ms. Kathryn J Luedtke
Other providers in West Allis, WI
- Advancing Abilities of Wisconsin, LLC
- Aegis Group Practice LLC
- Aesmedica LLC
- Amina Jabeen Ahmad
- Ahp 003 LLC
- Saima T Akbar
- Raheel Akhtar
- Tara L Alauf
- Celia Patricia Alegria
- Juaquin E Aleman
All providers in West Allis, WI · Advanced Practice Midwife in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.