Individual provider Active NPI

Ronald Kabaale, RN

  • Wound Care Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1467979732
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
176839 Issued in WI
Practice address
5443 N 13TH Street Apt 4
Milwaukee, WI 53209-5100
Phone
(414) 797-4803
NPI assigned
Aug 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 176839 WI Primary

Addresses

Primary practice location

5443 N 13TH Street Apt 4
Milwaukee, WI 53209-5100

Mailing address

5443 N 13TH St Apt 4
Milwaukee, WI 53209-5100
Phone (414) 797-4803

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
176839WIMDWound Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1503792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467979732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5443 N 13TH ST APT 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095100",
            "telephone_number": "414-797-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5443 N 13TH STREET APT 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095100",
            "telephone_number": "414-797-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABAALE",
        "first_name": "RONALD",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "WI",
            "license": "176839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.