Wisconsin Medicaid

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

WISCONSIN MEDICAID

Practice address

1528 Remington Rd
Neenah, WI 54956-1696

Phone

(920) 729-9887

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy Lei Sellier, BSN

Title

RN

Phone

(920) 727-0441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538353982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 HIGHLAND PARK RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561320",
            "telephone_number": "920-727-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 REMINGTON RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561696",
            "telephone_number": "920-729-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN MEDICAID",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SELLIER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LEI",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "920-727-0441",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Women's Care of Wisconsin S.C.

• Pediatric Skilled Nursing Facility in Neenah, WI
• Providers in Neenah, WI by specialty
• Pediatric Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.