Active NPI
Judith Ann Wierman, L.P.N.
- Licensed Practical Nurse
- Brown Deer, WI
National Provider Identifier
1932152659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 25839-031
- Practice address
- 6358 W Arch Ave
Brown Deer, WI 53223-3466 - Phone
- (414) 362-0785
- NPI assigned
- May 17, 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 25839-031 | WI | Primary |
Addresses
Primary practice location
6358 W Arch Ave
Brown Deer, WI 53223-3466
Mailing address
4955 S Brookdale Dr
Greenfield, WI 53228-3511
Phone (414) 529-5540
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25839-031 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1932152659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4955 S BROOKDALE DR",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532283511",
"telephone_number": "414-529-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6358 W ARCH AVE",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532233466",
"telephone_number": "414-362-0785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERMAN",
"first_name": "JUDITH",
"middle_name": "ANN",
"credential": "L.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "25839-031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brown Deer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.