Independent Nursing

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

22107330 Issued in WI

Legal business name

INDEPENDENT NURSING

Practice address

143 E Pine Hollow LN Apt 1
Oak Creek, WI 53154-7714

Phone

(414) 937-0412

NPI assigned

Oct 24, 2015

Last updated

Oct 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Casandra P Morris, RN

Title

Registered Nurse

Phone

(414) 937-0412

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445644800000",
    "number": "1720450125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E PINE HOLLOW LN APT 1",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531547714",
            "telephone_number": "414-937-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E PINE HOLLOW LN APT 1",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531547714",
            "telephone_number": "414-937-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-24",
        "last_updated": "2015-10-24",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "414-937-0412",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "WI",
            "license": "22107330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyatt Chiropractic SC
• Daniel Edward Hyatt, DC
• Andrey Ianovski, OD
• Ihc-Wheaton Anesthesia LLC
• Imr Oak Creek Opco, LLC
• Inner Dynamics
• Emily Ruth Jaeger, MD
• Brian L Jan, PA-C
• Anisa Janko
• Ryan Janus, NRP

• Pediatric Skilled Nursing Facility in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Pediatric Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.