Active NPI
Karen A Maisonet
- Driver
- Milwaukee, WI
National Provider Identifier
1730399130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- M253-5016-2687-03
- Practice address
- 1000 N 92ND St
Milwaukee, WI 53226-3533 - Phone
- (414) 479-9400
- Fax
- (414) 259-1663
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | M253-5016-2687-03 | WI | Primary |
Addresses
Primary practice location
1000 N 92ND St
Milwaukee, WI 53226-3533
Mailing address
2414A N Wauwatosa Ave
Wauwatosa, WI 53213-1133
Phone (414) 479-9400
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 |
|---|---|---|---|
| M253-5016-2687-03 | WI | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730399130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414A N WAUWATOSA AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131133",
"telephone_number": "414-479-9400",
"fax_number": "414-259-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N 92ND ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263533",
"telephone_number": "414-479-9400",
"fax_number": "414-259-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAISONET",
"first_name": "KAREN",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "WI",
"license": "M253-5016-2687-03",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 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.