Active NPI
Maria Sol Tudisco Donar, MASTERS DEGREE IN PS
- Counselor
- Platteville, WI
National Provider Identifier
1831529965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1899-226
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1899-226 | WI | MD | Counselor |
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.