Individual provider Active NPI

Jane Karen Wolking

  • Prosthetist
  • Madison, WI
National Provider Identifier
1740765734
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CP002234
Practice address
6514 Odana Rd
Madison, WI 53719-1124
Phone
(608) 833-9660
Fax
(608) 833-4733
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X CP002234 Primary

Addresses

Primary practice location

6514 Odana Rd
Madison, WI 53719-1124

Mailing address

733 Jenifer St
Madison, WI 53703-3530
Phone (608) 833-9660

Other identifiers 1

IdentifierTypeStateIssuer
CP002344OtherABC PROSTHETICS AND ORTHOTICS

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

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1740765734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 JENIFER ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033530",
            "telephone_number": "608-833-9660",
            "fax_number": "608-833-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6514 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191124",
            "telephone_number": "608-833-9660",
            "fax_number": "608-833-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKING",
        "first_name": "JANE",
        "middle_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": "CP002234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC PROSTHETICS AND ORTHOTICS",
            "identifier": "CP002344",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.