Integrative Medical Solutions of Lake Mills LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

INTEGRATIVE MEDICAL SOLUTIONS OF LAKE MILLS LLC

Practice address

125 E Pine St Ste C
Lake Mills, WI 53551-1103

Phone

(920) 648-5271

Fax

(920) 648-4365

NPI assigned

Oct 29, 2021

Organization subpart

No

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

Authorized official

Name

Prof. Nicole Lee Berg-Johnson, RN, APNPNPI 1336787126

Title

Adv Practice Nurse Practitioner

Phone

(262) 510-7412

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Lee Berg-Johnson, FNP

  • Family Nurse Practitioner
  • Lake Mills, WI
  • NPI 1336787126
  NPD Authorized official

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1497419956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E PINE ST STE C",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511103",
            "telephone_number": "920-648-5271",
            "fax_number": "920-648-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E PINE ST STE C",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511103",
            "telephone_number": "920-648-5271",
            "fax_number": "920-648-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL SOLUTIONS OF LAKE MILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "BERG-JOHNSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADV PRACTICE NURSE PRACTITIONER",
        "authorized_official_telephone_number": "262-510-7412",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "RN, APNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Dean Hoover, PT, DPT
• Danielle Hudson
• Danielle K Hunt, RN
• Heather Mariah Hunt, PHARMD
• Jared Hutterer, PT, DPT
• Jennifer A Jeschke, PT, DPT
• Wendy Sue Kasper
• Kathryn Anne Kidd, PT
• David Kriege, D.D.S
• Christopher James Kroll, D.C.

• Family Nurse Practitioner in Lake Mills, WI
• Providers in Lake Mills, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.