Individual provider Active NPI

Laura C Levenhagen, RN

  • Registered Nurse
  • Nashotah, WI
National Provider Identifier
1700154341
Registry record updated Dec 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
99612-30 Issued in WI
Practice address
4849 Village CT Apt 3
Nashotah, WI 53058-9665
Phone
(262) 719-7779
NPI assigned
Dec 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 99612-30 WI Primary
Nurse Massage Therapist (NMT) 163WM1400X 2134-146 WI

Addresses

Primary practice location

4849 Village CT Apt 3
Nashotah, WI 53058-9665

Mailing address

4849 Village CT Apt 3
Nashotah, WI 53058-9665
Phone (262) 719-7779

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

LicenseStateTypeSpecialty
99612-30WIMDRegistered Nurse
2134-146WIMDNurse Massage Therapist (NMT)

NPI Registry JSON

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

{
    "created_epoch": "1323475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323475200000",
    "number": "1700154341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 VILLAGE CT APT 3",
            "city": "NASHOTAH",
            "state": "WI",
            "postal_code": "530589665",
            "telephone_number": "262-719-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 VILLAGE CT APT 3",
            "city": "NASHOTAH",
            "state": "WI",
            "postal_code": "530589665",
            "telephone_number": "262-719-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENHAGEN",
        "first_name": "LAURA",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-10",
        "last_updated": "2011-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "99612-30",
            "primary": true
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "WI",
            "license": "2134-146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashotah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.