Active NPI
Eileen Lucille Zens, ANP
- Registered Nurse
- Ripon, WI
National Provider Identifier
1609871250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 66243
- Practice address
- 933 Newbury Street
Ripon, WI 54971 - Phone
- (920) 748-9156
- Fax
- (920) 748-0447
- NPI assigned
- Jun 20, 2005
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 66243 | WI | Primary |
Addresses
Primary practice location
933 Newbury Street
Ripon, WI 54971
Mailing address
571 Mill St
Apartment #3
Green Lake, WI 54941-9413
Phone (414) 750-1167
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66243 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1609871250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 MILL ST",
"address_2": "APARTMENT #3",
"city": "GREEN LAKE",
"state": "WI",
"postal_code": "549419413",
"telephone_number": "414-750-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 NEWBURY STREET",
"city": "RIPON",
"state": "WI",
"postal_code": "54971",
"telephone_number": "920-748-9156",
"fax_number": "920-748-0447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENS",
"first_name": "EILEEN",
"middle_name": "LUCILLE",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "66243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ripon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.