Individual provider Active NPI

Jeanne Louise Sammartino

  • Rural Acute Care Hospital
  • Wisconsin Rapids, WI
National Provider Identifier
1689825630
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
35151 Issued in WI
Practice address
4231 Griffith Ave
Wisconsin Rapids, WI 54494-2706
Phone
(715) 423-6962
NPI assigned
Oct 8, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 35151 WI Primary

Addresses

Primary practice location

4231 Griffith Ave
Wisconsin Rapids, WI 54494-2706

Mailing address

4231 Griffith Ave
Wisconsin Rapids, WI 54494-2706
Phone (715) 423-6962

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

LicenseStateTypeSpecialty
35151WIMDRural Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin River Orthopaedics, LTD. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1689825630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 GRIFFITH AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544942706",
            "telephone_number": "715-423-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 GRIFFITH AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544942706",
            "telephone_number": "715-423-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMARTINO",
        "first_name": "JEANNE",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "WI",
            "license": "35151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.