Individual provider Active NPI

Nicole F Brice, REGISTERED NURSE

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1568748655
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
255857 Issued in WI
Practice address
4386 W Deer Run Dr Apt 201
Milwaukee, WI 53223-6402
Phone
(414) 792-0812
NPI assigned
Nov 2, 2011
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 255857 WI Primary
Licensed Practical Nurse 164W00000X 313971-031 WI

Addresses

Primary practice location

4386 W Deer Run Dr Apt 201
Milwaukee, WI 53223-6402

Mailing address

4386 W Deer Run Dr Apt 201
Milwaukee, WI 53223-6402
Phone (414) 792-0812

Other practice location 1

3361 N Palmer St
Milwaukee, WI 53212-1540
Phone (414) 213-0433

Other names 1

  • Ms. Nicole F Brice Professional name

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

LicenseStateTypeSpecialty
255857WIMDRegistered Nurse
313971-031WIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1568748655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4386 W DEER RUN DR APT 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532236402",
            "telephone_number": "414-792-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4386 W DEER RUN DR APT 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532236402",
            "telephone_number": "414-792-0812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3361 N Palmer St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532121540",
            "country_code": "US",
            "telephone_number": "414-213-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRICE",
        "first_name": "NICOLE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "255857",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "313971-031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BRICE",
            "middle_name": "F",
            "prefix": "MS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jun 3, 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.