Individual provider Active NPI

Marilyn Ann Hauswirth, RN REGISTERED NURSE

  • Home Health Registered Nurse
  • Greendale, WI
National Provider Identifier
1881756849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
91284030 Issued in WI
Practice address
4533 Skylark LN
Greendale, WI 53129-2909
Phone
(414) 421-6243
Fax
(414) 421-5234
NPI assigned
Dec 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 91284030 WI Primary

Addresses

Primary practice location

4533 Skylark LN
Greendale, WI 53129-2909

Mailing address

4533 Skylark LN
Greendale, WI 53129-2909
Phone (414) 421-6243

Other identifiers 1

IdentifierTypeStateIssuer
38208300MedicaidWI

Other names 1

  • Miss Marilyn Ann Nelson Other name

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
91284030WIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881756849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 SKYLARK LN",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292909",
            "telephone_number": "414-421-6243",
            "fax_number": "414-421-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 SKYLARK LN",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292909",
            "telephone_number": "414-421-6243",
            "fax_number": "414-421-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSWIRTH",
        "first_name": "MARILYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "91284030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38208300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "NELSON",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.