Individual provider Active NPI

Jodeen Diane Schuller, RN

  • Home Health Registered Nurse
  • Waukesha, WI
National Provider Identifier
1659550853
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Practice address
S58W22460 Weiland Dr
Waukesha, WI 53189-9666
Phone
(262) 547-7393
NPI assigned
Oct 24, 2007
Last updated
Oct 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X WI Primary

Addresses

Primary practice location

S58W22460 Weiland Dr
Waukesha, WI 53189-9666

Mailing address

S58W22460 Weiland Dr
Waukesha, WI 53189-9666
Phone (262) 547-7393

Other identifiers 1

IdentifierTypeStateIssuer
39858900MedicaidWI

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
100485030WIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1659550853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S58W22460 WEILAND DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531899666",
            "telephone_number": "262-547-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S58W22460 WEILAND DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531899666",
            "telephone_number": "262-547-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULLER",
        "first_name": "JODEEN",
        "middle_name": "DIANE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39858900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.