Active NPI
Emily L. Nunes, PA-C
- Physician Assistant
- New Richmond, WI
National Provider Identifier
1841509973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3717-23
- Practice address
- 250 Richmond Way
New Richmond, WI 54017-6829 - Phone
- (715) 243-7224
- Fax
- (715) 246-2162
- NPI assigned
- Oct 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1489 | MN | |
| Physician Assistant | 363A00000X | 3717-23 | WI | Primary |
Addresses
Primary practice location
250 Richmond Way
New Richmond, WI 54017-6829
Mailing address
PO Box 1309
8170 33Rd Ave S
Minneapolis, MN 55425-4516
Phone (715) 243-7224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841509973 | Other | MN | UCARE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1489 | MN | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1841509973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1309",
"address_2": "8170 33RD AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554254516",
"telephone_number": "715-243-7224",
"fax_number": "715-246-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 RICHMOND WAY",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540176829",
"telephone_number": "715-243-7224",
"fax_number": "715-246-2162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNES",
"first_name": "EMILY",
"middle_name": "L.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MN",
"license": "1489",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3717-23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "1841509973",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.