Active NPI
Amanda Obernberger, RN
- Registered Nurse
- Racine, WI
National Provider Identifier
1437740768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 244096
- Practice address
- 3400 Kinzie Ave
Racine, WI 53405-2415 - Phone
- (262) 930-0766
- NPI assigned
- Jan 29, 2021
- Last updated
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 244096 | WI | Primary |
Addresses
Primary practice location
3400 Kinzie Ave
Racine, WI 53405-2415
Mailing address
3400 Kinzie Ave
Racine, WI 53405-2415
Phone (262) 930-0766
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
| License | State | Type | Specialty |
|---|---|---|---|
| 244096 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1437740768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 KINZIE AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534052415",
"telephone_number": "262-930-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 KINZIE AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534052415",
"telephone_number": "262-930-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERNBERGER",
"first_name": "AMANDA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "244096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
- Maureen Elizabeth O'Brien, RN
- Cynthia Lynn O'Haver, R.N.
- Paula O'Leary, MA
- Oakhill Family Living Center LLC (Oakhill Family Living Center)
- David Alan Obermeyer, RPH
- Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
- Richard Odders, MD
- Jay M Oksiuta, DDS
- Taylor Olivotti, M.S. CF-SLP
- F Kris Olsen, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.