Individual provider Active NPI

Debra A Muth, NP

  • Women's Health Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1619992732
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1167-033 Issued in WI
Practice address
1708 Paramount CT
Waukesha, WI 53186-3967
Phone
(262) 522-8640
Fax
(262) 522-8649
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X 1167-33 WI
Women's Health Nurse Practitioner 363LW0102X 1167-33 WI
Women's Health Nurse Practitioner 363LW0102X 1167-033 WI Primary

Addresses

Primary practice location

1708 Paramount CT
Waukesha, WI 53186-3967

Mailing address

1708 Paramount CT
Waukesha, WI 53186-3967
Phone (262) 522-8640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2014 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1167WIMDPsychologist
1167-033WIMDWomen's Health Nurse Practitioner
1167-33WIMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1619992732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 PARAMOUNT CT",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863967",
            "telephone_number": "262-522-8640",
            "fax_number": "262-522-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 PARAMOUNT CT",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863967",
            "telephone_number": "262-522-8640",
            "fax_number": "262-522-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTH",
        "first_name": "DEBRA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "WI",
            "license": "1167-33",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WI",
            "license": "1167-33",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WI",
            "license": "1167-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.