Individual provider Active NPI

Danielle D Musta, RN

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1497247456
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
220121 Issued in WI
Practice address
3707 N Richards St
Milwaukee, WI 53212-1673
Phone
(414) 967-7006
Fax
(414) 967-7020
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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 220121 WI Primary

Addresses

Primary practice location

3707 N Richards St
Milwaukee, WI 53212-1673

Mailing address

6641 N 53Rd St
Milwaukee, WI 53223-6047
Phone (414) 798-3190

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
220121WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1497247456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 N 53RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532236047",
            "telephone_number": "414-798-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 N RICHARDS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121673",
            "telephone_number": "414-967-7006",
            "fax_number": "414-967-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTA",
        "first_name": "DANIELLE",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "220121",
            "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 Jun 5, 2018; 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.