Individual provider Active NPI

Britteny N Lardinois, BSN

  • Registered Nurse
  • Green Bay, WI
National Provider Identifier
1639872195
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
108665530 Issued in WI
Practice address
2410 Sycamore Dr Apt 22
Green Bay, WI 54311-5141
Phone
(920) 819-9144
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 108665530 WI Primary

Addresses

Primary practice location

2410 Sycamore Dr Apt 22
Green Bay, WI 54311-5141

Mailing address

2410 Sycamore Dr Apt 22
Green Bay, WI 54311-5141
Phone (920) 819-9144

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
108665530WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1639872195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SYCAMORE DR APT 22",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115141",
            "telephone_number": "920-819-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SYCAMORE DR APT 22",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115141",
            "telephone_number": "920-819-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARDINOIS",
        "first_name": "BRITTENY",
        "middle_name": "N",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "108665530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.