Active NPI
Jennifer Anne Bird
- Registered Nurse
- Siren, WI
National Provider Identifier
1447409602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 128992-030
- Practice address
- 23820 Long Lake Rd
Siren, WI 54872-9273 - Phone
- (715) 349-8830
- NPI assigned
- Sep 11, 2008
- 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 | 128992-030 | WI | Primary |
Addresses
Primary practice location
23820 Long Lake Rd
Siren, WI 54872-9273
Mailing address
23820 Long Lake Rd
Siren, WI 54872-9273
Phone (715) 349-8830
Other names 1
- Jennifer Anne Bird
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128992-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1447409602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23820 LONG LAKE RD",
"city": "SIREN",
"state": "WI",
"postal_code": "548729273",
"telephone_number": "715-349-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23820 LONG LAKE RD",
"city": "SIREN",
"state": "WI",
"postal_code": "548729273",
"telephone_number": "715-349-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "128992-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BIRD",
"middle_name": "ANNE",
"credential": "RN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Siren, WI
- Aurora Community Counseling Employee Support and Services, Inc.
- Aurora Community Counseling Employee Support and Services, Inc.
- Aurora Communtiy Counseling Employee Support & Services, Inc. Dba: Acc
- Kristin L Barnes, MSOT, OTR/L
- Jacqueline K Brenizer, SAC
- Burnett County Family Resource Center, Inc.
- Jennifer L Chivers, SLP
- Ardyss Carol Collins, C.O.T.A
- County of Burnett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.