NPIMap

Organization Active NPI

Assure Family Practice LLC

  • Primary Care Clinic/Center
  • Lakewood, WI
National Provider Identifier
1790162899
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4429-33 Issued in WI
Legal business name
ASSURE FAMILY PRACTICE LLC
Practice address
17187 Twin Pines Rd
Suite a
Lakewood, WI 54138-9300
Phone
(715) 850-0700
Fax
(866) 484-2182
NPI assigned
Apr 28, 2015
Last updated
Apr 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Peggy S Christianson, FNPNPI 1053608992
Title
FNP/Owner
Phone
(715) 850-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4429-33 WI Primary

Addresses

Primary practice location

17187 Twin Pines Rd
Suite a
Lakewood, WI 54138-9300

Mailing address

17187 Twin Pines Rd
Suite a
Lakewood, WI 54138-9300
Phone (715) 850-0700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1790162899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17187 TWIN PINES RD",
            "address_2": "SUITE A",
            "city": "LAKEWOOD",
            "state": "WI",
            "postal_code": "541389300",
            "telephone_number": "715-850-0700",
            "fax_number": "866-484-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17187 TWIN PINES RD",
            "address_2": "SUITE A",
            "city": "LAKEWOOD",
            "state": "WI",
            "postal_code": "541389300",
            "telephone_number": "715-850-0700",
            "fax_number": "866-484-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "715-850-0700",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "4429-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.