Active NPI
Jessica L Key
- Non-emergency Medical Transport (VAN)
- Mequon, WI
National Provider Identifier
1689482903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- K0004328055601
- Practice address
- 11251 N Parkview Dr
Mequon, WI 53092-1923 - Phone
- (414) 630-4966
- NPI assigned
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | K0004328055601 | WI | Primary |
Addresses
Primary practice location
11251 N Parkview Dr
Mequon, WI 53092-1923
Mailing address
11251 N Parkview Dr
Mequon, WI 53092-1923
Phone (414) 630-4966
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
| License | State | Type | Specialty |
|---|---|---|---|
| K0004328055601 | WI | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1689482903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11251 N PARKVIEW DR",
"city": "MEQUON",
"state": "WI",
"postal_code": "530921923",
"telephone_number": "414-630-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11251 N PARKVIEW DR",
"city": "MEQUON",
"state": "WI",
"postal_code": "530921923",
"telephone_number": "414-630-4966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEY",
"first_name": "JESSICA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "WI",
"license": "K0004328055601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.