Active NPI
Bobbie McMahan, REGISTERED NURSE
- Registered Nurse
- Lancaster, WI
National Provider Identifier
1841742681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 178755-30
- Practice address
- 1120 Ridge Ave
Lancaster, WI 53813-2123 - Phone
- (608) 732-0538
- NPI assigned
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 178755-30 | WI | Primary |
Addresses
Primary practice location
1120 Ridge Ave
Lancaster, WI 53813-2123
Mailing address
1120 Ridge Ave
Lancaster, WI 53813-2123
Phone (608) 732-0538
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 |
|---|---|---|---|
| 178755-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1841742681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 RIDGE AVE",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132123",
"telephone_number": "608-732-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 RIDGE AVE",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132123",
"telephone_number": "608-732-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHAN",
"first_name": "BOBBIE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "178755-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.