Active NPI
Desiree Motiff, CST/CFA
- Surgical Technologist
- Green Bay, WI
National Provider Identifier
1609011121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- Practice address
- 1821 S Webster Ave
Green Bay, WI 54301-2253 - Phone
- (920) 496-4700
- Fax
- (920) 431-1972
- NPI assigned
- Dec 12, 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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | Primary |
Addresses
Primary practice location
1821 S Webster Ave
Green Bay, WI 54301-2253
Mailing address
1821 S Webster Ave
PO Box 19070
Green Bay, WI 54301-2253
Phone (920) 496-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109757 | Other | WI | NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229040000000",
"number": "1609011121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 S WEBSTER AVE",
"address_2": "PO BOX 19070",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543012253",
"telephone_number": "920-496-4700",
"fax_number": "920-431-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543012253",
"telephone_number": "920-496-4700",
"fax_number": "920-431-1972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTIFF",
"first_name": "DESIREE",
"credential": "CST/CFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-12",
"last_updated": "2008-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING",
"identifier": "109757",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.