Active NPI
Maryann Cathrine Widzins, RN
- Home Health Registered Nurse
- Kenosha, WI
National Provider Identifier
1407806862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 51824-030
- Practice address
- 9212 74TH PL
Kenosha, WI 53142-8102 - Phone
- (262) 697-8343
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 51824-030 | WI | Primary |
Addresses
Primary practice location
9212 74TH PL
Kenosha, WI 53142-8102
Mailing address
9212 74TH PL
Kenosha, WI 53142-8102
Phone (262) 697-8343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C38202100 | Medicaid | WI |
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 |
|---|---|---|---|
| 51824-030 | WI | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407806862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9212 74TH PL",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531428102",
"telephone_number": "262-697-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9212 74TH PL",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531428102",
"telephone_number": "262-697-8343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDZINS",
"first_name": "MARYANN",
"middle_name": "CATHRINE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": "51824-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C38202100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
- Kimberly Joann Whalen, DPT
- William T Whalen IV, C.O.
- James J White, CERTIFIED OPTICIAN
- Rayme White, OTR/L
- Therese Marie Whitt, MD
- Melissa Wiedenhoeft, MS, CF-SLP
- Leesa Marie Wiedholz-Abbott, PSY.D.
- Wiesztort Family Chiropractic Clinic, S.C.
- Walter Rudolph Wiesztort, D.C.
- April Brianna Wight, MSW, APSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.