Active NPI
Donna M Pierson, PA C
- Physician Assistant
- Hudson, WI
National Provider Identifier
1730151150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 906
- Practice address
- 403 Stageline Rd
Hudson, WI 54016-7848 - Phone
- (715) 531-6800
- Fax
- (715) 531-6801
- NPI assigned
- Feb 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 906 | WI | Primary |
| Physician Assistant | 363A00000X | 8890 | MN |
Addresses
Primary practice location
403 Stageline Rd
Hudson, WI 54016-7848
Mailing address
403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002056125 | Other | WI | MEDICARE # |
| 42971400 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8890 | MN | MD | Speech-Language Pathologist |
| 906 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1730151150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 STAGELINE RD",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167848",
"telephone_number": "715-531-6800",
"fax_number": "715-531-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 STAGELINE RD",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167848",
"telephone_number": "715-531-6800",
"fax_number": "715-531-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "DONNA",
"middle_name": "M",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "906",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "8890",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE #",
"identifier": "002056125",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42971400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.