Jenna Anne Mir, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

18587030 Issued in WI

Practice address

W168N11030 Ashbury Cir
Unit #1
Germantown, WI 53022-5575

Phone

(414) 779-0772

NPI assigned

Dec 31, 2016

Last updated

Dec 31, 2016By the provider in NPPES

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": "1483142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483142400000",
    "number": "1679018584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W168N11030 ASHBURY CIR",
            "address_2": "UNIT #1",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530225575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W168N11030 ASHBURY CIR",
            "address_2": "UNIT #1",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530225575",
            "telephone_number": "414-779-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIR",
        "first_name": "JENNA",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-31",
        "last_updated": "2016-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "18587030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metrocare Home Medical - Greenfield
• Amy L Miller, M.D.
• Dennis P Miller, MD
• Paul R. Miller, M.D.
• Rachel Susan Miller, LP
• Erin A Mlinaz, MSOTR/L
• Stephanie Anne Momper, MD
• Moving Like a Mother Physical Therapy and Wellness, LLC
• Elizabeth Ann Mueller
• Robert Mueller, D.P.M.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2016; 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.