Active NPI
Gary J Kunz, MSN
- Family Nurse Practitioner
- Cleveland, WI
National Provider Identifier
1942392428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R116852-7
- Practice address
- 1205 North Avenue
Cleveland, WI 53015 - Phone
- (920) 693-5600
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R116852-7 | MN | Primary |
Addresses
Primary practice location
1205 North Avenue
Cleveland, WI 53015
Mailing address
15821 Buck Lane
Mishicot, WI 54228
Phone (920) 755-2838
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R116852-7 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942392428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15821 BUCK LANE",
"city": "MISHICOT",
"state": "WI",
"postal_code": "54228",
"telephone_number": "920-755-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 NORTH AVENUE",
"city": "CLEVELAND",
"state": "WI",
"postal_code": "53015",
"telephone_number": "920-693-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNZ",
"first_name": "GARY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R116852-7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.