Individual provider Active NPI

Lisa R Zillmer, BSW

  • Case Manager/Care Coordinator
  • La Crosse, WI
National Provider Identifier
1760747448
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
11111-120 Issued in WI
Practice address
1407 Saint Andrew St
Ste 100
La Crosse, WI 54603-3301
Phone
(608) 785-6266
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 11111-120 WI Primary

Addresses

Primary practice location

1407 Saint Andrew St
Ste 100
La Crosse, WI 54603-3301

Mailing address

W11404 Spring Creek Rd
#31
Black River Falls, WI 54615-5980
Phone (715) 284-5697

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

LicenseStateTypeSpecialty
11111-120WIMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
La Crosse County Cmo Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1760747448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W11404 SPRING CREEK RD",
            "address_2": "#31",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155980",
            "telephone_number": "715-284-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 SAINT ANDREW ST",
            "address_2": "STE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546033301",
            "telephone_number": "608-785-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILLMER",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "11111-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.