Individual provider Active NPI

Marilyn Jean Cuda, R.N.

  • Registered Nurse
  • Sun Prairie, WI
National Provider Identifier
1972761666
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
117824-030 Issued in WI
Practice address
3181 Conservancy Estates LN
Sun Prairie, WI 53590-9249
Phone
(608) 837-7219
NPI assigned
May 29, 2008
Last updated
May 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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 117824-030 WI Primary

Addresses

Primary practice location

3181 Conservancy Estates LN
Sun Prairie, WI 53590-9249

Mailing address

7610 Midtown Rd
Apt 112
Madison, WI 53719-3449
Phone (608) 574-3599

Other identifiers 1

IdentifierTypeStateIssuer
39880900MedicaidWI

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

LicenseStateTypeSpecialty
117824-030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1972761666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 MIDTOWN RD",
            "address_2": "APT 112",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193449",
            "telephone_number": "608-574-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 CONSERVANCY ESTATES LN",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535909249",
            "telephone_number": "608-837-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDA",
        "first_name": "MARILYN",
        "middle_name": "JEAN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "117824-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39880900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.