Active NPI
Donald E. Foncree, FNP
- Family Nurse Practitioner
- La Crosse, WI
National Provider Identifier
1699791210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2480
- Practice address
- 700 West Avenue S.
DDHS
La Crosse, WI 54601-4783 - Phone
- (608) 392-7000
- Fax
- (608) 392-7808
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2480 | WI | Primary |
| Nurse Practitioner | 363L00000X | 2480-033 | WI | |
| Family Nurse Practitioner | 363LF0000X | 2480-033 | WI |
Addresses
Primary practice location
700 West Avenue S.
DDHS
La Crosse, WI 54601-4783
Mailing address
700 West Avenue S.
La Crosse, WI 54601-4783
Phone (608) 392-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41258000 | 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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2480 | WI | MD | Physician Assistant |
| 2480-033 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1699791210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WEST AVENUE S.",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014783",
"telephone_number": "608-392-7000",
"fax_number": "608-392-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WEST AVENUE S.",
"address_2": "DDHS",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014783",
"telephone_number": "608-392-7000",
"fax_number": "608-392-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONCREE",
"first_name": "DONALD",
"middle_name": "E.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "2480",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "2480-033",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "2480-033",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41258000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.