Individual provider Active NPI

John R Nonnweiler Jr.

  • Counselor
  • Sheboygan, WI
National Provider Identifier
1457578304
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1794 Issued in WI
Practice address
1011 N 8TH St
Sheboygan, WI 53081-4006
Phone
(920) 459-3175
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1794 WI Primary

Addresses

Primary practice location

1011 N 8TH St
Sheboygan, WI 53081-4006

Mailing address

1011 N 8TH St
Sheboygan, WI 53081-4006
Phone (920) 459-3175

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

LicenseStateTypeSpecialty
1794WIMDCounselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1457578304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814006",
            "telephone_number": "920-459-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814006",
            "telephone_number": "920-459-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NONNWEILER",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "1794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.