Connie Jo Delongchamp

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

319760 Issued in WI

Practice address

3301 N Ballard Rd
Suite B
Appleton, WI 54911-8980

Phone

(920) 733-4443

Fax

(920) 733-4796

NPI assigned

Sep 30, 2015

Last updated

Sep 30, 2015By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1710357934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N BALLARD RD",
            "address_2": "SUITE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118928",
            "telephone_number": "920-733-4443",
            "fax_number": "920-733-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N BALLARD RD",
            "address_2": "SUITE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118980",
            "telephone_number": "920-733-4443",
            "fax_number": "920-733-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONGCHAMP",
        "first_name": "CONNIE JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "319760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Dejager, PHARMD
• Sadie Dejager, PA-C
• Linda Marie Dejmek, OD
• Valerie Amelie Delain, PH.D.
• Ashley Mary Delanty, APNP
• Julie R Delrow, RN
• Dean Allen Delwiche, O.D.
• Laura P Delwiche, PTA
• Carlye Rae Demerath, MSN-FNP-BC
• Laura L. Demetrician, LMFT

• Licensed Practical Nurse in Appleton, WI
• Providers in Appleton, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.