Individual provider Active NPI

Maria Sol Tudisco Donar, MASTERS DEGREE IN PS

  • Counselor
  • Platteville, WI
National Provider Identifier
1831529965
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1899-226 Issued in WI
Practice address
1155 N. Elm St
Suite 120
Platteville, WI 53818-1207
Phone
(608) 348-4060
Fax
(608) 348-4191
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1899-226 WI Primary

Addresses

Primary practice location

1155 N. Elm St
Suite 120
Platteville, WI 53818-1207

Mailing address

PO Box 36 1155 N. Elm St
Suite 120
Platteville, WI 53818-1207
Phone (608) 348-4060

Other names 1

  • Maria Sol Tudisco Former name

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
1899-226WIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1831529965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36 1155 N. ELM ST",
            "address_2": "SUITE 120",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538181207",
            "telephone_number": "608-348-4060",
            "fax_number": "608-348-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N. ELM ST",
            "address_2": "SUITE 120",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538181207",
            "telephone_number": "608-348-4060",
            "fax_number": "608-348-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDISCO DONAR",
        "first_name": "MARIA",
        "middle_name": "SOL",
        "name_prefix": "Mrs.",
        "credential": "MASTERS DEGREE IN PS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "1899-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "TUDISCO",
            "middle_name": "SOL",
            "credential": "MASTERS DEGREE IN PS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Platteville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.