Debra Joan Sanfilippo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

296023 Issued in WI

Practice address

9900 Kawaga Rd
Minocqua, WI 54548-9107

Phone

(715) 356-8000

NPI assigned

Jun 27, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11761/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922035898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 KAWAGA RD",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489107",
            "telephone_number": "715-358-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 KAWAGA RD",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489107",
            "telephone_number": "715-356-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFILIPPO",
        "first_name": "DEBRA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "296023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Riebe
• Leonna Christine Robertson, REGISTERED NURSE
• Anna M Rosen, APNP
• Adam David Ross, DDS
• Doris L Ruder, APNP
• Michael J Schaars, MD
• Suzanne L Scheldroup, LCSW
• Sara Walker Scholten, PAC
• Alyssa J Schwanda, PAC
• Grace Schwantes

• Physician Assistant in Minocqua, WI
• Providers in Minocqua, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.