Active NPI
Donna Siegl, CMT
- Contractor
- West Bend, WI
National Provider Identifier
1558431007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 2041-046
- Practice address
- 1709 Stonebridge Rd
West Bend, WI 53095-5130 - Phone
- (262) 338-1908
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 2041-046 | WI | Primary |
Addresses
Primary practice location
1709 Stonebridge Rd
West Bend, WI 53095-5130
Mailing address
1709 Stonebridge Rd
West Bend, WI 53095
Phone (262) 338-1908
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2041-046 | WI | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558431007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 STONEBRIDGE RD",
"city": "WEST BEND",
"state": "WI",
"postal_code": "53095",
"telephone_number": "262-338-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 STONEBRIDGE RD",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530955130",
"telephone_number": "262-338-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGL",
"first_name": "DONNA",
"name_prefix": "Mrs.",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WI",
"license": "2041-046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bend, 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.