Active NPI
Amy Jeanne Tezak, OTR
- Skilled Nursing Facility
- Greenfield, WI
National Provider Identifier
1447423231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2920-026
- Practice address
- 5700 W Layton Ave
Greenfield, WI 53220-4016 - Phone
- (414) 281-7200
- NPI assigned
- Apr 11, 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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2920-026 | Primary |
Addresses
Primary practice location
5700 W Layton Ave
Greenfield, WI 53220-4016
Mailing address
5700 W Layton Ave
Greenfield, WI 53220-4016
Phone (414) 281-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40865900 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Mercy LLC | Skilled Nursing Facility | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Milwaukee, WI
- NPI 1134647928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1447423231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 W LAYTON AVE",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204016",
"telephone_number": "414-281-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 W LAYTON AVE",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204016",
"telephone_number": "414-281-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEZAK",
"first_name": "AMY",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": "2920-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40865900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.