Individual provider Active NPI

Lyndsey Megan Miskoski

  • Registered Nurse
  • Madison, WI
National Provider Identifier
1962910331
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
165808-30 Issued in WI
Practice address
333 E Campus Mall
Madison, WI 53715-1365
Phone
(608) 890-2856
NPI assigned
Jan 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 165808-30 WI Primary

Addresses

Primary practice location

333 E Campus Mall
Madison, WI 53715-1365

Mailing address

1005 Vista Ridge Dr
Mount Horeb, WI 53572-2355
Phone (608) 516-9408

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
165808-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1962910331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 VISTA RIDGE DR",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535722355",
            "telephone_number": "608-516-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CAMPUS MALL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151365",
            "telephone_number": "608-890-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKOSKI",
        "first_name": "LYNDSEY",
        "middle_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "165808-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.