Active NPI
University Clinicians LLC
- Health Service Clinic/Center
- Appleton, WI
National Provider Identifier
1740859347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- UNIVERSITY CLINICIANS LLC
- Doing business as
- University Clinicians Mini-Clinic
- Practice address
- 133 E College Ave Ste C
Appleton, WI 54911-5710 - Phone
- (920) 470-7480
- Fax
- (920) 903-1452
- NPI assigned
- Jun 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jude P Jean-Pierre, RPH
- Title
- Ceo
- Phone
- (920) 470-7480
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Clinic/Center | 261Q00000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
133 E College Ave Ste C
Appleton, WI 54911-5710
Mailing address
133 E College Ave
Appleton, WI 54911-5710
Phone (920) 470-7480
Other names 1
- University Clinicians Mini-Clinic
National Provider Directory
National Provider DirectoryLocations
133 E College Ave
Appleton, WI 54911
Phone (920) 470-7480
133 E College Ave
Ste C
Appleton, WI 54911
Phone (920) 470-7480
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Appleton, WI
- NPI 1821622309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623974400000",
"number": "1740859347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 E COLLEGE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115710",
"telephone_number": "920-470-7480",
"fax_number": "920-903-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E COLLEGE AVE STE C",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115710",
"telephone_number": "920-470-7480",
"fax_number": "920-903-1452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY CLINICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-18",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A",
"authorized_official_last_name": "JEAN-PIERRE",
"authorized_official_first_name": "JUDE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "920-470-7480",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "University Clinicians Mini-Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.