Individual provider Active NPI

Sylvia C Kacheris, LPN

  • Licensed Practical Nurse
  • Hartland, WI
National Provider Identifier
1629482997
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
307133-31 Issued in WI
Practice address
W292N5624 Dorn Rd
Hartland, WI 53029-9201
Phone
(262) 751-6406
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 307133-31 WI Primary

Addresses

Primary practice location

W292N5624 Dorn Rd
Hartland, WI 53029-9201

Mailing address

W292N5624 Dorn Rd
Hartland, WI 53029-9201
Phone (262) 751-6406

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
307133-31WIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1629482997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W292N5624 DORN RD",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530299201",
            "telephone_number": "262-751-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W292N5624 DORN RD",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530299201",
            "telephone_number": "262-751-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHERIS",
        "first_name": "SYLVIA",
        "middle_name": "C",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "307133-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.