Individual provider Active NPI

Katie Lynn Mortier, KATIE MORTIER

  • Pediatric Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1942505300
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
149864-030 Issued in WI
Practice address
10421 W Darnel Ave
Milwaukee, WI 53224-2648
Phone
(920) 277-6146
NPI assigned
Jan 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 149864-030 WI Primary

Addresses

Primary practice location

10421 W Darnel Ave
Milwaukee, WI 53224-2648

Mailing address

10421 W Darnel Ave
Milwaukee, WI 53224-2648
Phone (920) 277-6146

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
149864-030WIMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1942505300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 W DARNEL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242648",
            "telephone_number": "920-277-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 W DARNEL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242648",
            "telephone_number": "920-277-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIER",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "KATIE MORTIER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WI",
            "license": "149864-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.