Active NPI
Audrey Moellers, LPN
- Licensed Practical Nurse
- Mineral Point, WI
National Provider Identifier
1407946569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 28863031
- Practice address
- 4229 E Barreltown Rd
Mineral Point, WI 53565-9252 - Phone
- (608) 987-2893
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 28863031 | WI | Primary |
Addresses
Primary practice location
4229 E Barreltown Rd
Mineral Point, WI 53565-9252
Mailing address
4229 E Barreltown Rd
Mineral Point, WI 53565-9252
Phone (608) 987-2893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38247100 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28863031 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407946569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 E BARRELTOWN RD",
"city": "MINERAL POINT",
"state": "WI",
"postal_code": "535659252",
"telephone_number": "608-987-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 E BARRELTOWN RD",
"city": "MINERAL POINT",
"state": "WI",
"postal_code": "535659252",
"telephone_number": "608-987-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOELLERS",
"first_name": "AUDREY",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "28863031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38247100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mineral Point, WI
- Mineral Point Family Dentistry, LLC
- Mineral Point Medial Center S.C.
- Mineral Point Medical Center SC
- Mineral Point Rescue Squad, Inc.
- Mineral Point Unified School District
- Tammy Nelson-Bennett, RDH
- NSH Mineral Point LLC (Mineral Point Health Services)
- Michelle R Peterson, NP
- Paul L Podruch, D.D.S.
- Moriah Grace Post-Kinney, CPM, LM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.