Medication Innovations L.L.C.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

911033 Issued in WI

Legal business name

MEDICATION INNOVATIONS L.L.C.

Practice address

1039 W Mason St
Green Bay, WI 54303-1842

Phone

(920) 965-7716

Fax

(920) 496-7922

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Judy Wentland, APNP

Title

Nurse Practitioner/Owner

Phone

(920) 965-7716

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1922291749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031842",
            "telephone_number": "920-965-7716",
            "fax_number": "920-496-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031842",
            "telephone_number": "920-965-7716",
            "fax_number": "920-496-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICATION INNOVATIONS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "WENTLAND",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "920-965-7716",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WI",
            "license": "911033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43888800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "S55910",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Mead, MD
• Meadowbrook Smiles
• Kathryn Meadowcroft, FNP
• Medequipment & Supplies
• Medical Arts Complex Dental Center, S.C.
• Michael G Medich, MD
• Medinah Transport LLC
• Molly E Mehlberg, NP
• Cameron Meidam
• Brittany Ann Meier, LPC

• Women's Health Nurse Practitioner in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Women's Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.