Active NPI
Rebecca Diane Lauber, RN
- Registered Nurse
- Lake Mills, WI
National Provider Identifier
1447407630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 112676-030
- Practice address
- N6989 Neupert Rd
Lake Mills, WI 53551-9623 - Phone
- (920) 648-2676
- NPI assigned
- Aug 19, 2008
- 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 | 112676-030 | WI | Primary |
Addresses
Primary practice location
N6989 Neupert Rd
Lake Mills, WI 53551-9623
Mailing address
N6989 Neupert Rd
Lake Mills, WI 53551-9623
Phone (920) 648-2676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35064900 | Medicaid | WI |
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 |
|---|---|---|---|
| 112676-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1447407630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N6989 NEUPERT RD",
"city": "LAKE MILLS",
"state": "WI",
"postal_code": "535519623",
"telephone_number": "920-648-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N6989 NEUPERT RD",
"city": "LAKE MILLS",
"state": "WI",
"postal_code": "535519623",
"telephone_number": "920-648-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUBER",
"first_name": "REBECCA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "112676-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35064900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Mills, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.