Individual provider Active NPI

Maikhou Lor Her, RN

  • Registered Nurse
  • Stoughton, WI
National Provider Identifier
1508400698
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
251098-30 Issued in WI
Practice address
214 S Forrest St Ste L1
Stoughton, WI 53589-1713
Phone
(608) 889-7400
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Registered Nurse 163W00000X 251098-30 WI Primary

Addresses

Primary practice location

214 S Forrest St Ste L1
Stoughton, WI 53589-1713

Mailing address

2754 Burritt Rd
Stoughton, WI 53589-3383
Phone (608) 556-6681

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
251098-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Healthcare Services LLC CurrentSince Mar 1, 2020 Accepting new patients
The Hmong Institute Incorporated Case Manager/Care Coordinator PastSince Nov 10, 2019 Accepting new patients

Locations

214 S Forrest St
Ste L1
Stoughton, WI 53589
Phone (608) 889-7400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1508400698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 BURRITT RD",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535893383",
            "telephone_number": "608-556-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S FORREST ST STE L1",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891713",
            "telephone_number": "608-889-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HER",
        "first_name": "MAIKHOU",
        "middle_name": "LOR",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "251098-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.