Active NPI
Marsha Ann Nytes, LPN
- Licensed Practical Nurse
- New London, WI
National Provider Identifier
1598913501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 304482031
- Practice address
- E8222 Weyawega Rd
New London, WI 54961 - Phone
- (920) 982-9021
- NPI assigned
- Sep 3, 2008
- Last updated
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 304482031 | WI | Primary |
Addresses
Primary practice location
E8222 Weyawega Rd
New London, WI 54961
Mailing address
N8261 Cty Rd 0
Bear Creek, WI 54922
Phone (715) 752-4828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38325600 | Medicaid | WI |
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 |
|---|---|---|---|
| 304482031 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1598913501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N8261 CTY RD 0",
"city": "BEAR CREEK",
"state": "WI",
"postal_code": "54922",
"telephone_number": "715-752-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E8222 WEYAWEGA RD",
"city": "NEW LONDON",
"state": "WI",
"postal_code": "54961",
"telephone_number": "920-982-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYTES",
"first_name": "MARSHA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "304482031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38325600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in New London, WI
- New London Family Dental LLC
- New London Family Medical Center Inc (New London Family Medical Center)
- Grace Elizabeth Nigl
- Herbert A Nolan, APNP
- North Eastern Wisconsin Rehabilitation Corporation (N.E.W. REHAB Company)
- Susan Heidmann Obertin
- Lisa Oikarinen
- Kimberly K Oliver, CRNA
- Orthopedic & Spine Therapy of New London, SC
- Orthopedic & Spine Therapy of New London, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.