Joan Ellen Mortimer, R.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

118722-30 Issued in WI

Practice address

830 Circle Dr
Elm Grove, WI 53122-2140

Phone

(262) 782-1269

Fax

(262) 782-7997

NPI assigned

Feb 25, 2009

Sex

Female

Sole proprietor

Yes

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": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1689814972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CIRCLE DR",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222140",
            "telephone_number": "262-782-1269",
            "fax_number": "262-782-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CIRCLE DR",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222140",
            "telephone_number": "262-782-1269",
            "fax_number": "262-782-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "JOAN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "118722-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Marie Micheli, MSW CADC III
• Andrea Middlesworth, LPC
• Helen L Miller, L.AC.
• Megan Moore
• Miche'L Moore, MS MFT
• Justin Mosling, MS LPC CSAC
• Xee Moua, APSW
• Myeyedr Optometry of Wisconsin, LLC
• Angela R Myhre, M.S., L.M.F.T.
• New Behavioral Health, LLC

• Home Health Registered Nurse in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.