Active NPI
Carol Ann Higgins, P.T.A.
- Skilled Nursing Facility
- Kaukauna, WI
National Provider Identifier
1730331281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 277-019
- Practice address
- 316 E 14TH St
Kaukauna, WI 54130-3304 - Phone
- (920) 766-6020
- NPI assigned
- Oct 15, 2008
- Last updated
- Oct 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 277-019 | WI | Primary |
Addresses
Primary practice location
316 E 14TH St
Kaukauna, WI 54130-3304
Mailing address
2406 Ruffed CT
Green Bay, WI 54311-5232
Phone (920) 469-0781
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
| License | State | Type | Specialty |
|---|---|---|---|
| 277-019 | WI | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1730331281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 RUFFED CT",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115232",
"telephone_number": "920-469-0781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 E 14TH ST",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541303304",
"telephone_number": "920-766-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "P.T.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": "277-019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaukauna, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.