Active NPI
Equicare 360 LLC
- Family Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1437071982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EQUICARE 360 LLC
- Practice address
- 1710 N 33Rd St
Milwaukee, WI 53208-1904 - Phone
- (414) 930-8333
- NPI assigned
- Jul 27, 2026
- Last updated
- Jul 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Russ, APNP
- Title
- Owner
- Phone
- (414) 930-8333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1710 N 33Rd St
Milwaukee, WI 53208-1904
Mailing address
1710 N 33Rd St
Milwaukee, WI 53208-1904
Phone (414) 930-8333
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Milwaukee, WI
- NPI 1609328277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1437071982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 N 33RD ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532081904",
"telephone_number": "414-930-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 N 33RD ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532081904",
"telephone_number": "414-930-8333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUICARE 360 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "RUSS",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-930-8333",
"authorized_official_credential": "APNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.