Individual provider Active NPI

Amber Lynn McCarty, RN BSN

  • School Registered Nurse
  • Kewaskum, WI
National Provider Identifier
1508731787
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
148219-30 Issued in WI
Practice address
1676 Reigle Dr
Kewaskum, WI 53040-8923
Phone
(262) 626-3104
Fax
(262) 477-1752
NPI assigned
Oct 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 148219-30 WI Primary

Addresses

Primary practice location

1676 Reigle Dr
Kewaskum, WI 53040-8923

Mailing address

1676 Reigle Dr
Kewaskum, WI 53040-8923
Phone (262) 626-3104

Other practice location 1

1510 Bilgo Ln
Kewaskum, WI 53040-8920
Phone (262) 626-3105

Other practice location 2

1415 Bilgo Ln
Kewaskum, WI 53040-8921
Phone (262) 626-3101

Other practice location 3

8736 Boltonville Rd
Kewaskum, WI 53040-9722
Phone (262) 626-2961

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
148219-30WIMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1508731787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 REIGLE DR",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530408923",
            "telephone_number": "262-626-3104",
            "fax_number": "262-477-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 REIGLE DR",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530408923",
            "telephone_number": "262-626-3104",
            "fax_number": "262-477-1752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Bilgo Ln",
            "address_purpose": "LOCATION",
            "city": "Kewaskum",
            "state": "WI",
            "postal_code": "530408920",
            "country_code": "US",
            "telephone_number": "262-626-3105",
            "fax_number": "262-477-1752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Bilgo Ln",
            "address_purpose": "LOCATION",
            "city": "Kewaskum",
            "state": "WI",
            "postal_code": "530408921",
            "country_code": "US",
            "telephone_number": "262-626-3101",
            "fax_number": "262-477-1752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8736 Boltonville Rd",
            "address_purpose": "LOCATION",
            "city": "Kewaskum",
            "state": "WI",
            "postal_code": "530409722",
            "country_code": "US",
            "telephone_number": "262-626-2961",
            "fax_number": "262-477-1752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WI",
            "license": "148219-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kewaskum, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.