Individual provider Active NPI

Carol Ann Fochs, RN

  • Registered Nurse
  • Rhinelander, WI
National Provider Identifier
1487963633
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
169496-30 Issued in WI
Practice address
4271 Lake Mildred Rd
Rhinelander, WI 54501-9752
Phone
(715) 282-4962
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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 169496-30 WI Primary

Addresses

Primary practice location

4271 Lake Mildred Rd
Rhinelander, WI 54501-9752

Mailing address

4271 Lake Mildred Rd
Rhinelander, WI 54501-9752
Phone (715) 282-4962

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
169496-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1487963633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4271 LAKE MILDRED RD",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019752",
            "telephone_number": "715-282-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4271 LAKE MILDRED RD",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019752",
            "telephone_number": "715-282-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOCHS",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "169496-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.