Active NPI
Anna E Warzala, LPN
- Licensed Practical Nurse
- Jefferson, WI
National Provider Identifier
1740804913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 325109
- Practice address
- Sunset Ridge Jefferson
826 E. Reinel Street, Jefferson, Wi 53549
Jefferson, WI 53549 - Phone
- (262) 325-7516
- Fax
- (920) 541-3662
- NPI assigned
- Jun 3, 2020
- Last updated
- Jun 3, 2020
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 325109 | WI | Primary |
Addresses
Primary practice location
Sunset Ridge Jefferson
826 E. Reinel Street, Jefferson, Wi 53549
Jefferson, WI 53549
Mailing address
Sunset Ridge Jefferson
826 E. Reinel Street, Jefferson, Wi 53549
Jefferson, WI 53549
Phone (262) 325-7516
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 |
|---|---|---|---|
| 325109 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1740804913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUNSET RIDGE JEFFERSON",
"address_2": "826 E. REINEL STREET, JEFFERSON, WI 53549",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "53549",
"telephone_number": "262-325-7516",
"fax_number": "920-541-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUNSET RIDGE JEFFERSON",
"address_2": "826 E. REINEL STREET, JEFFERSON, WI 53549",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "53549",
"telephone_number": "262-325-7516",
"fax_number": "920-541-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARZALA",
"first_name": "ANNA",
"middle_name": "E",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "325109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, WI
- David J Volk, D.C.
- Maddie Elizabeth Volk
- Vop Jefferson, LLC (Dimensions Living Jefferson)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3499)
- Wal-Mart Stores East, LP (Walmart Vision Center 30-3499)
- Watertown Regional Medical Center, Inc (WRMC Jefferson PT Clinic)
- Hailey Rose Watson
- Brian Weber
- Wellnite Medical Group PA
- Linda M Welniak, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.