Active NPI
Therese Marie O'Grady, RN
- Registered Nurse
- Genoa City, WI
National Provider Identifier
1508291238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 86757-030
- Practice address
- W1007 Violet Rd
Genoa City, WI 53128-1666 - Phone
- (262) 215-8747
- Fax
- (262) 295-8338
- NPI assigned
- Sep 12, 2013
- Last updated
- Oct 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 86757-030 | WI | Primary |
| Registered Nurse | 163W00000X | 041.190108 | IL |
Addresses
Primary practice location
W1007 Violet Rd
Genoa City, WI 53128-1666
Mailing address
PO Box 939
Pell Lake, WI 53157-0939
Phone (262) 215-8747
Other names 1
- Mrs. Therese Marie Zei
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041.190108 | IL | MD | Registered Nurse |
| 86757-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381190400000",
"number": "1508291238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 939",
"city": "PELL LAKE",
"state": "WI",
"postal_code": "531570939",
"telephone_number": "262-215-8747",
"fax_number": "262-295-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W1007 VIOLET RD",
"city": "GENOA CITY",
"state": "WI",
"postal_code": "531281666",
"telephone_number": "262-215-8747",
"fax_number": "262-295-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GRADY",
"first_name": "THERESE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2013-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "86757-030",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.190108",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESE",
"last_name": "ZEI",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Genoa City, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.