Active NPI
Mary Grace Lemmenes, APNP
- Adult Health Nurse Practitioner
- Brandon, WI
National Provider Identifier
1710140488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 3188033
- Practice address
- N4439 Meadow Rd
Brandon, WI 53919-9734 - Phone
- (920) 346-2187
- NPI assigned
- Jul 3, 2008
- Last updated
- Jul 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3188033 | WI | Primary |
Addresses
Primary practice location
N4439 Meadow Rd
Brandon, WI 53919-9734
Mailing address
N4439 Meadow Road
Wisconsin, WI 53919
Phone (920) 346-2187
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3188033 | WI | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1710140488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N4439 MEADOW ROAD",
"city": "WISCONSIN",
"state": "WI",
"postal_code": "53919",
"telephone_number": "920-346-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N4439 MEADOW RD",
"city": "BRANDON",
"state": "WI",
"postal_code": "539199734",
"telephone_number": "920-346-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMMENES",
"first_name": "MARY",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "APNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WI",
"license": "3188033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.