Carmen Maria Vazquez, RN, FNP

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

171798-030 Issued in WI

Practice address

12075 Brookside Rd
Auburndale, WI 54412-9562

Phone

(715) 570-4667

NPI assigned

Aug 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthfirst Network Inc. F/K/a Family Planning Health Services Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Wausau, WI
  • NPI 1538152491
  NPD (past)

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1609285535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12075 BROOKSIDE RD",
            "city": "AUBURNDALE",
            "state": "WI",
            "postal_code": "544129562",
            "telephone_number": "715-570-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12075 BROOKSIDE RD",
            "city": "AUBURNDALE",
            "state": "WI",
            "postal_code": "544129562",
            "telephone_number": "715-570-4667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 S 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014636",
            "country_code": "US",
            "telephone_number": "800-246-5743",
            "fax_number": "715-675-5475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "CARMEN",
        "middle_name": "MARIA",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "12196-33",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "171798-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary L. Feltz
• Linda Lee Roth-Dolens, PT
• Katherine Sabel
• Kimberly A Sievers
• Sport & Spine Clinic LP

• Home Health Registered Nurse in Auburndale, WI
• Providers in Auburndale, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.