Individual provider Active NPI

Eleanor Sobkowiak, RN, CCM

  • Home Health Registered Nurse
  • Onalaska, WI
National Provider Identifier
1437537511
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
158353-30 Issued in WI
Practice address
W6019 County Rd S
Onalaska, WI 54650-8810
Phone
(608) 783-0952
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 158353-30 WI
Home Health Registered Nurse 163WH0200X 158353-30 WI Primary

Addresses

Primary practice location

W6019 County Rd S
Onalaska, WI 54650-8810

Mailing address

W6019 County Rd S
Onalaska, WI 54650-8810
Phone (608) 783-0952

Other identifiers 3

IdentifierTypeStateIssuer
163WHO400XMedicaidWI
163WCO400XMedicaidWI
1437537511MedicaidWI

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

LicenseStateTypeSpecialty
158353-30WIMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1437537511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6019 COUNTY RD S",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508810",
            "telephone_number": "608-783-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W6019 COUNTY RD S",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508810",
            "telephone_number": "608-783-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBKOWIAK",
        "first_name": "ELEANOR",
        "credential": "RN, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WI",
            "license": "158353-30",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "158353-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163WHO400X",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163WCO400X",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437537511",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.