Active NPI
Josie Dicesare, CFNP
- Family Nurse Practitioner
- Superior, WI
National Provider Identifier
1609985589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1729
- Practice address
- 3600 Tower Ave
Suite One
Superior, WI 54880-5337 - Phone
- (715) 392-1955
- Fax
- (715) 392-1935
- NPI assigned
- Aug 30, 2006
- Last updated
- Dec 15, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1729 | WI | Primary |
Addresses
Primary practice location
3600 Tower Ave
Suite One
Superior, WI 54880-5337
Mailing address
3600 Tower Ave
Suite One
Superior, WI 54880-5337
Phone (715) 392-1955
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015R2WE | Other | MN | BCBS-MN |
| 128160-8 | Other | MN | LICENSE |
| 1729 | Other | WI | LICENSE CFNP |
| 87G58WE | Other | WI | BCBS-MN |
| 01-13331 | Other | WI | MEDICA |
| NA9591046225 | Other | MN | PREFERREDONE |
| 73184 | Other | WI | LICENSE |
| 205368-22 | Other | MN | LICENSE CFNP |
| 475646313005 | Other | WI | BCBS-WI |
Other names 1
- Josie Webb
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1609985589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 TOWER AVE",
"address_2": "SUITE ONE",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548805337",
"telephone_number": "715-392-1955",
"fax_number": "715-392-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 TOWER AVE",
"address_2": "SUITE ONE",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548805337",
"telephone_number": "715-392-1955",
"fax_number": "715-392-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICESARE",
"first_name": "JOSIE",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "1729",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MN",
"identifier": "015R2WE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "128160-8",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE CFNP",
"identifier": "1729",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MN",
"identifier": "87G58WE",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "01-13331",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "NA9591046225",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "73184",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE CFNP",
"identifier": "205368-22",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-WI",
"identifier": "475646313005",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOSIE",
"last_name": "WEBB",
"credential": "CFNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Superior, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.