Active NPI
Cathy Lynn Despears, LPN
- Licensed Practical Nurse
- Milwaukee, WI
National Provider Identifier
1457543217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 21384031
- Practice address
- 210 W Capitol Drive
Milwaukee, WI 53212-1123 - Phone
- (414) 727-6320
- Fax
- (414) 727-6321
- NPI assigned
- Aug 15, 2007
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 21384031 | WI | Primary |
Addresses
Primary practice location
210 W Capitol Drive
Milwaukee, WI 53212-1123
Mailing address
210 W Capitol Drive
Milwaukee, WI 53212-1123
Phone (414) 727-6320
Other names 1
- Mrs. Cathy Lynn Kocol
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 |
|---|---|---|---|
| 21384031 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1457543217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W CAPITOL DRIVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121123",
"telephone_number": "414-727-6320",
"fax_number": "414-727-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W CAPITOL DRIVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121123",
"telephone_number": "414-727-6320",
"fax_number": "414-727-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESPEARS",
"first_name": "CATHY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "21384031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHY",
"last_name": "KOCOL",
"middle_name": "LYNN",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.