Mindy May Deura, BSN, RN, CDCES

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

169401-030 Issued in WI

Practice address

N74W12501 Leatherwood CT
Menomonee Falls, WI 53051-4490

Phone

(414) 777-5998

NPI assigned

Apr 11, 2022

Sex

Female

Sole proprietor

No

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1700528718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BRIAR HILL DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882749",
            "telephone_number": "262-993-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490",
            "telephone_number": "414-777-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEURA",
        "first_name": "MINDY",
        "middle_name": "MAY",
        "credential": "BSN, RN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "WI",
            "license": "169401-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario F Deluca, HIS
• Kristina Denter, PHARM D
• Kelley Marie Dentino, D.M.D.
• Luke V Desjarlais, PAC
• Miranda R Dethier, PA-C
• Stacey M. Deutsch, R.D.
• Michelle Dickau, RD
• Olivia Diedrick
• Mary P. Dimick, OT
• Maiah Claire Domask, MS, LPC-IT

• Diabetes Educator Registered Nurse in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Diabetes Educator Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.