Organization Active NPI

Fitnurse LLC

  • Registered Nurse
  • Menomonee Falls, WI
National Provider Identifier
1427339407
Registry record updated Dec 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
162900-30 Issued in WI
Legal business name
FITNURSE LLC
Practice address
N52W17284 Ridgewood Dr
Menomonee Falls, WI 53051-7847
Phone
(855) 855-2710
Fax
(855) 855-2710
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jessica Elizabeth Wroblewski, R.N.NPI 1164706099
Title
Clinical Director
Phone
(855) 855-2710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 162900-30 WI Primary

Addresses

Primary practice location

N52W17284 Ridgewood Dr
Menomonee Falls, WI 53051-7847

Mailing address

PO Box 590
Brookfield, WI 53008-0590
Phone (855) 855-2710

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322956800000",
    "number": "1427339407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530080590",
            "telephone_number": "855-855-2710",
            "fax_number": "855-855-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N52W17284 RIDGEWOOD DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517847",
            "telephone_number": "855-855-2710",
            "fax_number": "855-855-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNURSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-12-04",
        "status": "A",
        "authorized_official_last_name": "WROBLEWSKI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "855-855-2710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "162900-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.