Individual provider Active NPI

Mary Cristine Markley Brown, LPN

  • Licensed Practical Nurse
  • Burlington, WI
National Provider Identifier
1932418423
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
14462-31 Issued in WI
Practice address
2914 Crossway Rd
Burlington, WI 53105-7734
Phone
(262) 290-8887
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 14462-31 WI Primary

Addresses

Primary practice location

2914 Crossway Rd
Burlington, WI 53105-7734

Mailing address

2914 Crossway Rd
Burlington, WI 53105-7734
Phone (262) 290-8887

Other names 1

  • Mrs. Mary Cristine Ammend Former name

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
14462-31WIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1932418423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 CROSSWAY RD",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531057734",
            "telephone_number": "262-290-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 CROSSWAY RD",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531057734",
            "telephone_number": "262-290-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLEY BROWN",
        "first_name": "MARY",
        "middle_name": "CRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "14462-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "AMMEND",
            "middle_name": "CRISTINE",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.