Active NPI
Julie Ann Vukusich, RN
- Registered Nurse
- Medford, WI
National Provider Identifier
1689627986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 156153-30
- Practice address
- 6604 West Highway 64
Medford, WI 54451 - Phone
- (715) 748-0914
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 156153-30 | WI | Primary |
Addresses
Primary practice location
6604 West Highway 64
Medford, WI 54451
Mailing address
303 N Clayberg St
Bessemer, MI 49911-1122
Phone (906) 663-4273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38327800 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 156153-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1689627986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N CLAYBERG ST",
"city": "BESSEMER",
"state": "MI",
"postal_code": "499111122",
"telephone_number": "906-663-4273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6604 WEST HIGHWAY 64",
"city": "MEDFORD",
"state": "WI",
"postal_code": "54451",
"telephone_number": "715-748-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUKUSICH",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "156153-30",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38327800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.