Individual provider Active NPI

Christopher William Ludden

  • Student in an Organized Health Care Education/Training Program
  • Appleton, WI
National Provider Identifier
1831483593
Registry record updated May 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
NOT YET ISSUED Issued in WI
Practice address
400 E Haddonstone Dr
Appleton, WI 54913-6312
Phone
(920) 731-9888
NPI assigned
May 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NOT YET ISSUED WI Primary

Addresses

Primary practice location

400 E Haddonstone Dr
Appleton, WI 54913-6312

Mailing address

400 E Haddonstone Dr
Appleton, WI 54913-6312
Phone (920) 731-9888

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
NOT YET ISSUEDWIMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306713600000",
    "number": "1831483593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E HADDONSTONE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549136312",
            "telephone_number": "920-731-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E HADDONSTONE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549136312",
            "telephone_number": "920-731-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDDEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-30",
        "last_updated": "2011-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": "NOT YET ISSUED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; 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.