Active NPI
Brittany Wagner, R.N.
- Registered Nurse
- Dodgeville, WI
National Provider Identifier
1417335126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2005-11
- Practice address
- 218 W Parry St
Dodgeville, WI 53533-1823 - Phone
- (608) 852-7203
- NPI assigned
- May 13, 2015
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2005-11 | WI | Primary |
Addresses
Primary practice location
218 W Parry St
Dodgeville, WI 53533-1823
Mailing address
218 W Parry St
Dodgeville, WI 53533-1823
Phone (608) 852-7203
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 |
|---|---|---|---|
| 2005-11 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1417335126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 W PARRY ST",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535331823",
"telephone_number": "608-852-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 W PARRY ST",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535331823",
"telephone_number": "608-852-7203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "BRITTANY",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "2005-11",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dodgeville, WI
- Upland Hills Healthm, Inc. (Upland Hills Health Audiology)
- Bailey M Upmann, PA-C
- Uro GYN Consultations LLC
- Kenneth A Valyo, DO
- Brad A. Vamstad, MA, LAT
- Elizabeth A Wagner, DMD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0847)
- Wal-Mart Stores East, LP (Wal-Mart Vision Center 30-0847)
- Walgreen Co (Walgreens #10962)
- Stephanie Wanek, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.