Individual provider Active NPI

Tami Kae Shaffer-Zander, ADN

  • Community Health Registered Nurse
  • La Crosse, WI
National Provider Identifier
1619233467
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
127729-30 Issued in WI
Practice address
1407 Saint Andrew St Ste 100
La Crosse, WI 54603-2378
Phone
(608) 785-6375
NPI assigned
Apr 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 127729-30 WI Primary

Addresses

Primary practice location

1407 Saint Andrew St Ste 100
La Crosse, WI 54603-2378

Mailing address

W28369 County Road Z
Eleva, WI 54738-9581
Phone (715) 287-4116

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

LicenseStateTypeSpecialty
127729-30WIMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1619233467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W28369 COUNTY ROAD Z",
            "city": "ELEVA",
            "state": "WI",
            "postal_code": "547389581",
            "telephone_number": "715-287-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 SAINT ANDREW ST STE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546032378",
            "telephone_number": "608-785-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER-ZANDER",
        "first_name": "TAMI",
        "middle_name": "KAE",
        "credential": "ADN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WI",
            "license": "127729-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.