Active NPI
Tina Chmela
- Registered Nurse
- Marinette, WI
National Provider Identifier
1427468669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 160121-30
- Practice address
- W1121 Krause Rd
Marinette, WI 54143-9594 - Phone
- (715) 923-4756
- NPI assigned
- Apr 28, 2014
- 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 | 160121-30 | WI | Primary |
Addresses
Primary practice location
W1121 Krause Rd
Marinette, WI 54143-9594
Mailing address
W1121 Krause Road
Marinette, WI 54143
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 |
|---|---|---|---|
| 160121-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1427468669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W1121 KRAUSE ROAD",
"city": "MARINETTE",
"state": "WI",
"postal_code": "54143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W1121 KRAUSE RD",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541439594",
"telephone_number": "715-923-4756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHMELA",
"first_name": "TINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "160121-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.