Wisconsin Tele-Med Network

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WISCONSIN TELE-MED NETWORK

Practice address

6923 39TH Ave
Kenosha, WI 53142-7129

Phone

(414) 416-3801

NPI assigned

Feb 16, 2016

Last updated

Feb 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jodi A Bova

Title

Owner

Phone

(414) 416-3801

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey W Hall, DC

  • Chiropractor
  • Kenosha, WI
  • NPI 1578616355
  NPD (past)

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1568821841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W146S6974 CATALINA DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531503116",
            "telephone_number": "414-416-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6923 39TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427129",
            "telephone_number": "414-416-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN TELE-MED NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "BOVA",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-416-3801"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisconsin Dental Group, S.C. (ForwardDental Kenosha)
• Wisconsin Endodontics SC (Endodontic Specialists of Wisconsin - Kenosha)
• Wisconsin Foot & Ankle Center LLC
• Wisconsin Neuropathy Center LLC
• Wisconsin Specialty Surgery Center,LLC
• Wisconsin Vision, LLC
• Wisnova LLC (Wisnova)
• Mark Witeck, M.D.
• Donald H Woehling, DDS
• Amy Woike, D.O.

• Family Nurse Practitioner in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.