Active NPI
Kimberly Sue Centgraf, DVM
- Veterinarian
- Waukesha, WI
National Provider Identifier
1619113792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 4666
- Practice address
- 918 W Sunset Dr
Waukesha, WI 53189-7018 - Phone
- (262) 547-0871
- Fax
- (292) 547-0924
- NPI assigned
- Dec 19, 2008
- Last updated
- Dec 19, 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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 4666 | WI | Primary |
Addresses
Primary practice location
918 W Sunset Dr
Waukesha, WI 53189-7018
Mailing address
918 W Sunset Dr
Waukesha, WI 53189-7018
Phone (262) 547-0871
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 |
|---|---|---|---|
| 4666 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1619113792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 W SUNSET DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531897018",
"telephone_number": "262-547-0871",
"fax_number": "292-547-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 W SUNSET DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531897018",
"telephone_number": "262-547-0871",
"fax_number": "292-547-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTGRAF",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "WI",
"license": "4666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.