Gina Paveglio, RN

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

147461 Issued in WI

Practice address

430 E Division St
Surgery Dept
Fond Du Lac, WI 54935

Phone

(920) 929-2300

NPI assigned

Feb 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1952933046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E DIVISION ST",
            "address_2": "SURGERY DEPT",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E DIVISION ST",
            "address_2": "SURGERY DEPT",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-929-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVEGLIO",
        "first_name": "GINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WI",
            "license": "147461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renae M Patrick, NP
• Lisa M Patterson, APNP
• Jenna Kay Pauly
• Amanda Pautsch
• Jessica Pautsch, RN
• Annamay Breann Payten, LPC
• April L Peaslee, APNP
• Heidi Peed, PT
• Karl Pennau, MD
• Nicholas Pentek

• Registered Nurse First Assistant in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Registered Nurse First Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.