Ross Acker, LPN, CNA

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

319735 Issued in WI

Practice address

4884 Highwood Cir
Middleton, WI 53562-1402

Phone

(608) 669-6041

NPI assigned

Aug 11, 2015

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2015.

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1457727653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4884 HIGHWOOD CIR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621402",
            "telephone_number": "608-669-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4884 HIGHWOOD CIR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621402",
            "telephone_number": "608-669-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKER",
        "first_name": "ROSS",
        "credential": "LPN, CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "319735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Middleton, WI
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.