Ashley Jordan Lanae Geronzin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

245804 Issued in WI

Practice address

S70W20099 Adrian Dr
Muskego, WI 53150-8200

Phone

(262) 366-8662

NPI assigned

Apr 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1629650924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 RIVERTON DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491053",
            "telephone_number": "563-503-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S70W20099 ADRIAN DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508200",
            "telephone_number": "262-366-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONZIN",
        "first_name": "ASHLEY",
        "middle_name": "JORDAN LANAE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "245804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forefront Dermatology, S.C.
• Doreen Ann Foyer, LCSW
• Darrell Lee Fynaardt, D.C.
• Oliver Gardipee
• Laura Gentile, RN, BSN
• Dragos Ghinea
• Michael J Giesie, DC
• Libby Gnatzig
• Sara Goetz, LMFT
• Nicole Lynn Goodno, FUNCTIONAL NUTRITION

• Registered Nurse in Muskego, WI
• Providers in Muskego, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.