Organization Active NPI

Gero-Psych Nursing, S.C.

  • Gerontology Nurse Practitioner
  • Lannon, WI
National Provider Identifier
1790794329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4-033 Issued in WI
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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, APNPNPI 1366470130
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)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.