Individual provider Active NPI

Karmin R Vandenbush, RN

  • Registered Nurse
  • Green Bay, WI
National Provider Identifier
1871439984
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
227173-30 Issued in WI
Practice address
1660 S Huron Rd Apt 3
Green Bay, WI 54311-8012
Phone
(920) 246-4519
NPI assigned
Apr 29, 2026
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 227173-30 WI Primary

Addresses

Primary practice location

1660 S Huron Rd Apt 3
Green Bay, WI 54311-8012

Mailing address

1660 S Huron Rd Apt 3
Green Bay, WI 54311-8012
Phone (920) 246-4519

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
227173-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1871439984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S HURON RD APT 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118012",
            "telephone_number": "920-246-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S HURON RD APT 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118012",
            "telephone_number": "920-246-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBUSH",
        "first_name": "KARMIN",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "227173-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.