Active NPI
Aisha Van Bommel
- Home Health Registered Nurse
- Menomonee Falls, WI
National Provider Identifier
1629409388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 149905-30
- Practice address
- N51W16911 Old Hickory Rd
Menomonee Falls, WI 53051-7502 - Phone
- (262) 373-0150
- Fax
- (262) 718-7677
- NPI assigned
- Dec 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 149905-30 | WI | Primary |
Addresses
Primary practice location
N51W16911 Old Hickory Rd
Menomonee Falls, WI 53051-7502
Mailing address
N51W16911 Old Hickory Rd
Menomonee Falls, WI 53051-7502
Phone (262) 373-0150
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 |
|---|---|---|---|
| 149905-30 | WI | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386288000000",
"number": "1629409388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N51W16911 OLD HICKORY RD",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530517502",
"telephone_number": "262-373-0150",
"fax_number": "262-718-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N51W16911 OLD HICKORY RD",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530517502",
"telephone_number": "262-373-0150",
"fax_number": "262-718-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN BOMMEL",
"first_name": "AISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-06",
"last_updated": "2013-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": "149905-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.