Individual provider Active NPI

Gloria A Story, RN

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1477711711
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
124297-030 Issued in WI
Practice address
4357 N 83Rd St
4357 N. 83Rd St
Milwaukee, WI 53222-1809
Phone
(414) 535-9876
Fax
(414) 535-9876
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 124297-030 WI Primary

Addresses

Primary practice location

4357 N 83Rd St
4357 N. 83Rd St
Milwaukee, WI 53222-1809

Mailing address

4357 N 83Rd St
4357 N. 83Rd St
Milwaukee, WI 53222-1809
Phone (414) 535-9876

Other identifiers 1

IdentifierTypeStateIssuer
35047600MedicaidWI

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
124297-030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1477711711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4357 N 83RD ST",
            "address_2": "4357 N. 83RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221809",
            "telephone_number": "414-535-9876",
            "fax_number": "414-535-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4357 N 83RD ST",
            "address_2": "4357 N. 83RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221809",
            "telephone_number": "414-535-9876",
            "fax_number": "414-535-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORY",
        "first_name": "GLORIA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "124297-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35047600",
            "state": "WI"
        }
    ],
    "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 May 22, 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.

Verify at the official NPI Registry.