Individual provider Active NPI

Peace Ijeoma Maduka

  • Registered Nurse
  • Menomonee Falls, WI
National Provider Identifier
1922324391
Registry record updated Apr 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
146526030 Issued in WI
Practice address
N82W13398 Fond Du Lac Ave
Menomonee Falls, WI 53051-3928
Phone
(262) 251-3974
NPI assigned
Apr 10, 2010
Last updated
Apr 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2010

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 146526030 WI Primary

Addresses

Primary practice location

N82W13398 Fond Du Lac Ave
Menomonee Falls, WI 53051-3928

Mailing address

N82W13398 Fond Du Lac Ave
Menomonee Falls, WI 53051-3928
Phone (262) 251-3974

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

State licenses

LicenseStateTypeSpecialty
146526030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1270857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270857600000",
    "number": "1922324391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N82W13398 FOND DU LAC AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513928",
            "telephone_number": "262-251-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N82W13398 FOND DU LAC AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513928",
            "telephone_number": "262-251-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUKA",
        "first_name": "PEACE",
        "middle_name": "IJEOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-10",
        "last_updated": "2010-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "146526030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2010; 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.