Jennifer Rose Daluz

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

313561-31 Issued in WI

Practice address

1312 N Gammon Rd
F
Middleton, WI 53562-3810

Phone

(608) 446-4071

NPI assigned

Mar 11, 2011

Last updated

Mar 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1972801165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 N GAMMON RD",
            "address_2": "F",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623810",
            "telephone_number": "608-446-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 N GAMMON RD",
            "address_2": "F",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623810",
            "telephone_number": "608-446-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALUZ",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "313561-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maddie Grace Crist
• Brittany B Cross, LPC, CSAC
• Yolanda Crouch, LPC
• Allison Crull
• Gina Cuva, CCC-SLP
• Erica Dammann, PT, DPT
• Dane Health Supplies
• Julia Danz, DO
• Sherri Daugherty, LCSW
• Rachel David

• Licensed Practical Nurse in Middleton, WI
• Providers in Middleton, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.