Jacqueline Scapardine

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

158332 Issued in WI

Practice address

7530 County Road B
Pittsville, WI 54466-9759

Phone

(715) 676-2920

NPI assigned

Jul 24, 2015

Last updated

Jul 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1861877466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 COUNTY ROAD B",
            "city": "PITTSVILLE",
            "state": "WI",
            "postal_code": "544669759",
            "telephone_number": "715-676-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 COUNTY ROAD B",
            "city": "PITTSVILLE",
            "state": "WI",
            "postal_code": "544669759",
            "telephone_number": "715-676-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAPARDINE",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "158332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pittsville Vol Fire Dept Inc (Pittsville Fire Dept Ambulance Service)
• Ashley Ann Raygo
• Ashley J Robus, PTA
• Angela Kari Rutta, LPN
• Brian Scott Scapardine
• Kristin N Scheunemann
• Kelsey Tenpas, LPN

• Home Health Registered Nurse in Pittsville, WI
• Providers in Pittsville, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.