Eds

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

EDS

Practice address

1202 N Page St
Stoughton, WI 53589-1161

Phone

(608) 205-9974

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Jamie L Wallace

Title

Registered Nurse

Phone

(608) 205-9974

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740230416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 N PAGE ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N PAGE ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891161",
            "telephone_number": "608-205-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "608-205-9974"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra M Draus, APNP
• Mary Lynn Driscoll, PHARMD
• David W Druckenbrod, LCSW
• Jeanne Marie Duncan, PT
• Denise Marie Duranczyk, MS, PT
• Cindy Lee Ehr, COTA
• Veronica M Ellingworth, MS, LPC, SAC, ICS
• Comfort C Eruchalu, RN
• Daniel R Eugster, D.C.
• Tara N. Evans, P.T.

• Registered Nurse in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.