Individual provider Active NPI

Tammy Laduron, LPN

  • Licensed Practical Nurse
  • West Allis, WI
National Provider Identifier
1659778553
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
303034-31 Issued in WI
Practice address
1648 S 63Rd St
West Allis, WI 53214-5014
Phone
(414) 551-4210
Fax
(866) 317-4218
NPI assigned
Nov 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 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 303034-31 WI Primary

Addresses

Primary practice location

1648 S 63Rd St
West Allis, WI 53214-5014

Mailing address

1648 S 63Rd St
West Allis, WI 53214-5014
Phone (414) 551-4210

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
303034-31WIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1659778553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 S 63RD ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145014",
            "telephone_number": "414-551-4210",
            "fax_number": "866-317-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 S 63RD ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145014",
            "telephone_number": "414-551-4210",
            "fax_number": "866-317-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADURON",
        "first_name": "TAMMY",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "303034-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.