Active NPI
Michelle Ann Quandt, RN
- Registered Nurse
- New Berlin, WI
National Provider Identifier
1720024318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 97876030
- Practice address
- 13705 W Green Meadow Dr
New Berlin, WI 53151-3135 - Phone
- (262) 617-5318
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 97876030 | WI | Primary |
Addresses
Primary practice location
13705 W Green Meadow Dr
New Berlin, WI 53151-3135
Mailing address
4217 S Packard Ave
St Francis, WI 53235-5543
Phone (414) 481-3640
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
| License | State | Type | Specialty |
|---|---|---|---|
| 97876030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720024318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4217 S PACKARD AVE",
"city": "ST FRANCIS",
"state": "WI",
"postal_code": "532355543",
"telephone_number": "414-481-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13705 W GREEN MEADOW DR",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531513135",
"telephone_number": "262-617-5318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUANDT",
"first_name": "MICHELLE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "97876030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.