Active NPI
Annette M Volberding, R.N.
- Neonatal Intensive Care Registered Nurse
- Mequon, WI
National Provider Identifier
1922065101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Intensive Care Registered Nurse
- License
- 85163-030
- Practice address
- 10438 N Pine Ridge Cir
Mequon, WI 53092-5993 - Phone
- (262) 241-9407
- NPI assigned
- Apr 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 85163-030 | WI | Primary |
Addresses
Primary practice location
10438 N Pine Ridge Cir
Mequon, WI 53092-5993
Mailing address
10438 N Pine Ridge Cir
Mequon, WI 53092-5993
Phone (262) 241-9407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39841300 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 85163-030 | WI | MD | Neonatal Intensive Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1922065101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10438 N PINE RIDGE CIR",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925993",
"telephone_number": "262-241-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10438 N PINE RIDGE CIR",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925993",
"telephone_number": "262-241-9407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLBERDING",
"first_name": "ANNETTE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-30",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "WI",
"license": "85163-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39841300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.