Active NPI
Melissa Irene Izzard, RRT
- SNF/Subacute Care Registered Respiratory Therapist
- Mequon, WI
National Provider Identifier
1942397807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- SNF/Subacute Care Registered Respiratory Therapist
- License
- 2699 028
- Practice address
- 11649 N Port Washington Rd
Mequon, WI 53092 - Phone
- (262) 241-8892
- Fax
- (266) 241-8894
- NPI assigned
- Oct 10, 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 |
|---|---|---|---|---|
| SNF/Subacute Care Registered Respiratory Therapist | 2279S1500X | 2699 028 | WI | Primary |
Addresses
Primary practice location
11649 N Port Washington Rd
Mequon, WI 53092
Mailing address
1937 16TH Ave
Grafton, WI 53024
Phone (262) 387-1099
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 |
|---|---|---|---|
| 2699 028 | WI | MD | SNF/Subacute Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942397807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1937 16TH AVE",
"city": "GRAFTON",
"state": "WI",
"postal_code": "53024",
"telephone_number": "262-387-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11649 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "53092",
"telephone_number": "262-241-8892",
"fax_number": "266-241-8894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZZARD",
"first_name": "MELISSA",
"middle_name": "IRENE",
"name_prefix": "Mrs.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2279S1500X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
"state": "WI",
"license": "2699 028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, 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.