Active NPI
Gero-Psych Nursing, S.C.
- Gerontology Nurse Practitioner
- Lannon, WI
National Provider Identifier
1790794329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4-033
- Legal business name
- GERO-PSYCH NURSING, S.C.
- Practice address
- 19822 W Good Hope Rd
Lannon, WI 53046-9775 - Phone
- (262) 251-3808
- NPI assigned
- Aug 5, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Beverly Sigl Felten, PHD, RN, APNP
- Title
- Ceo
- Phone
- (262) 251-3808
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4-033 | WI | Primary |
Addresses
Primary practice location
19822 W Good Hope Rd
Lannon, WI 53046-9775
Mailing address
19822 W Good Hope Rd
Lannon, WI 53046-9775
Phone (262) 251-3808
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Nurse Practitioner
- Milwaukee, WI
- NPI 1366470130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790794329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19822 W GOOD HOPE RD",
"city": "LANNON",
"state": "WI",
"postal_code": "530469775",
"telephone_number": "262-251-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19822 W GOOD HOPE RD",
"city": "LANNON",
"state": "WI",
"postal_code": "530469775",
"telephone_number": "262-251-3808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERO-PSYCH NURSING, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FELTEN",
"authorized_official_first_name": "BEVERLY",
"authorized_official_middle_name": "SIGL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "262-251-3808",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, RN, APNP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "4-033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lannon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.