Active NPI
Laura Tobon, NP
- Registered Nurse
- Milwaukee, WI
National Provider Identifier
1790787943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 115547030
- Practice address
- 5000 W National Ave
Milwaukee, WI 53295-0001 - Phone
- (414) 384-2000
- Fax
- (414) 489-4161
- NPI assigned
- Jun 1, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 115547030 | WI | Primary |
Addresses
Primary practice location
5000 W National Ave
Milwaukee, WI 53295-0001
Mailing address
3145 S Delaware Ave
Milwaukee, WI 53207-3018
Phone (414) 489-7429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120801000300 | WI | Order and Referring Only - Nurse Practitioner | 0840456125 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115547030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1790787943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 S DELAWARE AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532073018",
"telephone_number": "414-489-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W NATIONAL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532950001",
"telephone_number": "414-384-2000",
"fax_number": "414-489-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBON",
"first_name": "LAURA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "115547030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.