Individual provider Active NPI

Cynthia B. Obletz, CYNTHIA OBLETZ

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1720378029
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
128748-030 Issued in WI
Practice address
1906 E Shorewood Blvd
Unit 156
Milwaukee, WI 53211-2500
Phone
(414) 562-9443
NPI assigned
Apr 8, 2011
Last updated
Apr 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 128748-030 WI Primary

Addresses

Primary practice location

1906 E Shorewood Blvd
Unit 156
Milwaukee, WI 53211-2500

Mailing address

1906 E Shorewood Blvd
Unite 156
Milwaukee, WI 53211-2500
Phone (414) 562-9443

Other names 1

  • Ms. Cynthia B. Obletz Professional name

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

LicenseStateTypeSpecialty
128748-030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1720378029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 E SHOREWOOD BLVD",
            "address_2": "UNITE 156",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112500",
            "telephone_number": "414-562-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 E SHOREWOOD BLVD",
            "address_2": "UNIT 156",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112500",
            "telephone_number": "414-562-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBLETZ",
        "first_name": "CYNTHIA",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "CYNTHIA OBLETZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "128748-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "OBLETZ",
            "middle_name": "B.",
            "prefix": "MS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.