Active NPI
Bonnie Kay Muecke, RN
- Registered Nurse
- South Sioux City, NE
National Provider Identifier
1508400110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 063820
- Practice address
- 820 E 29TH St
South Sioux City, NE 68776-3344 - Phone
- (402) 494-1662
- NPI assigned
- Nov 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 063820 | IA | Primary |
Addresses
Primary practice location
820 E 29TH St
South Sioux City, NE 68776-3344
Mailing address
28273 Key Ave
Merrill, IA 51038-8555
Phone (712) 253-4593
Other practice location 1
28273 Key Ave
Merrill, IA 51038-8555
Phone (712) 253-4593
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 |
|---|---|---|---|
| 063820 | IA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1508400110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28273 KEY AVE",
"city": "MERRILL",
"state": "IA",
"postal_code": "510388555",
"telephone_number": "712-253-4593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E 29TH ST",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763344",
"telephone_number": "402-494-1662"
}
],
"practiceLocations": [
{
"address_1": "28273 Key Ave",
"address_purpose": "LOCATION",
"city": "Merrill",
"state": "IA",
"postal_code": "510388555",
"country_code": "US",
"telephone_number": "712-253-4593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUECKE",
"first_name": "BONNIE",
"middle_name": "KAY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-06",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IA",
"license": "063820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.