Active NPI
People First
- Skilled Nursing Facility
- Burlington, WI
National Provider Identifier
1679748271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PEOPLE FIRST
- Practice address
- 677 E State St
Burlington, WI 53105-1639 - Phone
- (262) 763-9531
- NPI assigned
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Margaret Kedzie, COTA
- Title
- Staff Cota
- Phone
- (262) 895-2322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
677 E State St
Burlington, WI 53105-1639
Mailing address
677 E State St
Burlington, WI 53105-1639
Phone (262) 763-9531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40733500 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1679748271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 E STATE ST",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051639",
"telephone_number": "262-763-9531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 E STATE ST",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051639",
"telephone_number": "262-763-9531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEOPLE FIRST",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "KEDZIE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "MARGARET",
"authorized_official_title_or_position": "STAFF COTA",
"authorized_official_telephone_number": "262-895-2322",
"authorized_official_credential": "COTA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40733500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.