Individual provider Active NPI

Mary M Lule, RN

  • Home Health Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1508952789
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Practice address
8928 W Appleton Ave
Apt # 3
Milwaukee, WI 53225-4259
Phone
(414) 324-4939
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 WI Primary

Addresses

Primary practice location

8928 W Appleton Ave
Apt # 3
Milwaukee, WI 53225-4259

Mailing address

8928 W Appleton Ave
Apt # 3
Milwaukee, WI 53225-4259
Phone (414) 324-4939

Other identifiers 1

IdentifierTypeStateIssuer
38341300OtherWIRN/RCS PROVIDER NUMBER

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
142658-030WIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508952789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 W APPLETON AVE",
            "address_2": "APT # 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532254259",
            "telephone_number": "414-324-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8928 W APPLETON AVE",
            "address_2": "APT # 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532254259",
            "telephone_number": "414-324-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LULE",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN/RCS PROVIDER NUMBER",
            "identifier": "38341300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.