Active NPI
Beth M Fluette, RN
- Registered Nurse
- Kaukauna, WI
National Provider Identifier
1689930216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 161108-30
- Practice address
- 1981 Greengrove St
Kaukauna, WI 54130-3921 - Phone
- (920) 759-4436
- NPI assigned
- Apr 9, 2012
- 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 | 161108-30 | WI | Primary |
Addresses
Primary practice location
1981 Greengrove St
Kaukauna, WI 54130-3921
Mailing address
W2224 Gentry Dr
Apt. 5
Kaukauna, WI 54130-8510
Phone (920) 277-9959
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 |
|---|---|---|---|
| 161108-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1689930216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W2224 GENTRY DR",
"address_2": "APT. 5",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541308510",
"telephone_number": "920-277-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1981 GREENGROVE ST",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541303921",
"telephone_number": "920-759-4436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLUETTE",
"first_name": "BETH",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "161108-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kaukauna, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.