Individual provider Active NPI

Becky Harlene Gaertig, REGISTERED NURSE

  • Home Health Registered Nurse
  • Oconto Falls, WI
National Provider Identifier
1497981872
Registry record updated May 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
144583030 Issued in WI
Practice address
8223 Morgan Marsh Rd
Oconto Falls, WI 54154-9644
Phone
(920) 846-0361
NPI assigned
May 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 144583030 WI Primary

Addresses

Primary practice location

8223 Morgan Marsh Rd
Oconto Falls, WI 54154-9644

Mailing address

8223 Morgan Marsh Rd
Oconto Falls, WI 54154-9644
Phone (920) 846-0361

Other identifiers 1

IdentifierTypeStateIssuer
35071700MedicaidWI

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
144583030WIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1243641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243641600000",
    "number": "1497981872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 MORGAN MARSH RD",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541549644",
            "telephone_number": "920-846-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 MORGAN MARSH RD",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541549644",
            "telephone_number": "920-846-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAERTIG",
        "first_name": "BECKY",
        "middle_name": "HARLENE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-30",
        "last_updated": "2009-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "144583030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35071700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconto Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2009; 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.