Active NPI
Mary E Limbach, NNP
- Nurse Practitioner
- Grafton, WI
National Provider Identifier
1861890873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6150
- Practice address
- 975 Port Washington Rd
Grafton, WI 53024-9201 - Phone
- (262) 329-1000
- NPI assigned
- Dec 8, 2014
- 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 |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 6150-33 | WI | |
| Nurse Practitioner | 363L00000X | 6150 | WI | Primary |
Addresses
Primary practice location
975 Port Washington Rd
Grafton, WI 53024-9201
Mailing address
975 Port Washington Rd
Grafton, WI 53024-9201
Phone (262) 329-1000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6150-33 | WI | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1861890873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 PORT WASHINGTON RD",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530249201",
"telephone_number": "262-329-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 PORT WASHINGTON RD",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530249201",
"telephone_number": "262-329-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIMBACH",
"first_name": "MARY",
"middle_name": "E",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-08",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "WI",
"license": "6150-33",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "6150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grafton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.