Active NPI
Ashley Danielle Budreck, R.N.
- Registered Nurse
- Lake Geneva, WI
National Provider Identifier
1962780783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 185413-30
- Practice address
- N1537 Oak St.
Lake Geneva, WI 53147-1902 - Phone
- (262) 758-9663
- NPI assigned
- Jul 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 185413-30 | WI | Primary |
Addresses
Primary practice location
N1537 Oak St.
Lake Geneva, WI 53147-1902
Mailing address
N1537 Oak St.
Lake Geneva, WI 53147-1902
Phone (262) 758-9663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100017252 | Medicaid | WI |
Other names 1
- Ms. Ashley Danielle Bero
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185413-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1962780783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N1537 OAK ST.",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531471902",
"telephone_number": "262-758-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N1537 OAK ST.",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531471902",
"telephone_number": "262-758-9663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDRECK",
"first_name": "ASHLEY",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "185413-30",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100017252",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "BERO",
"middle_name": "DANIELLE",
"prefix": "MS.",
"credential": "R.N.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.