Individual provider Active NPI

Deborah Ellen Uschan, RN

  • Registered Nurse
  • Cottage Grove, WI
National Provider Identifier
1760004030
Registry record updated May 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
140276-30 Issued in WI
Practice address
704 Weald Bridge Rd
Cottage Grove, WI 53527-8306
Phone
(608) 333-6676
NPI assigned
May 10, 2020
Last updated
May 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 140276-30 WI Primary

Addresses

Primary practice location

704 Weald Bridge Rd
Cottage Grove, WI 53527-8306

Mailing address

704 Weald Bridge Rd
Cottage Grove, WI 53527-8306
Phone (608) 333-6676

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
140276-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1760004030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WEALD BRIDGE RD",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535278306",
            "telephone_number": "608-333-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WEALD BRIDGE RD",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535278306",
            "telephone_number": "608-333-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USCHAN",
        "first_name": "DEBORAH",
        "middle_name": "ELLEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-10",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "140276-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.