Individual provider Active NPI

Elizabeth C Noeske

  • Licensed Practical Nurse
  • Brookfield, WI
National Provider Identifier
1568899516
Registry record updated Oct 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
10837 Issued in WI
Practice address
4155 N 162ND St
Brookfield, WI 53005-1444
Phone
(262) 781-5649
NPI assigned
Oct 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 10837 WI Primary

Addresses

Primary practice location

4155 N 162ND St
Brookfield, WI 53005-1444

Mailing address

4155 N 162ND St
Brookfield, WI 53005-1444
Phone (262) 781-5649

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
10837WIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1381017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381017600000",
    "number": "1568899516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 N 162ND ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530051444",
            "telephone_number": "262-781-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 N 162ND ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530051444",
            "telephone_number": "262-781-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOESKE",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-06",
        "last_updated": "2013-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "10837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2013; 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.