Amanda Haberli, RN

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

196446 Issued in WI

Practice address

N6004 Rendezvous Rd
Luxemburg, WI 54217-8370

Phone

(920) 495-7057

NPI assigned

Aug 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1437706777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6004 RENDEZVOUS RD",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542178370",
            "telephone_number": "920-495-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6004 RENDEZVOUS RD",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542178370",
            "telephone_number": "920-495-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERLI",
        "first_name": "AMANDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "WI",
            "license": "196446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Luxemburg",
            "affiliation": "N",
            "address_1": "N6004 Rendezvous Rd",
            "city": "Luxemburg",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542178370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gina Enderby
• Elyse Marie Engebose, FNP-C
• Eye & Vision Clinics, S.C.
• Fred & Mamie's Home, Inc
• Rey Anthony G Garibay, MD
• Helping Hearts Assisted Living LLC
• Bonnie L Hert
• Alissa Katherine Heurkens
• Katie Marie Hucek, LPN
• Infinity Care Inc.

• Neonatal Intensive Care Registered Nurse in Luxemburg, WI
• Providers in Luxemburg, WI by specialty
• Neonatal Intensive Care Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.