Individual provider Active NPI

Alyssa Joy Hiebing, 318343-31

  • Licensed Practical Nurse
  • Sheboygan, WI
National Provider Identifier
1497150569
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
31834331 Issued in WI
Practice address
1701 N 27TH St
Sheboygan, WI 53081-2034
Phone
(920) 946-0187
NPI assigned
Oct 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 31834331 WI Primary

Addresses

Primary practice location

1701 N 27TH St
Sheboygan, WI 53081-2034

Mailing address

2806 N 11TH St
Sheboygan, WI 53083-4020
Phone (920) 627-0979

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
31834331WIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1497150569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 N 11TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530834020",
            "telephone_number": "920-627-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N 27TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530812034",
            "telephone_number": "920-946-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEBING",
        "first_name": "ALYSSA",
        "middle_name": "JOY",
        "credential": "318343-31",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "31834331",
            "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 Oct 30, 2014; 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.