Susan Ann O'Malley-Larson, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

309598-031 Issued in WI

Practice address

2075 Lower Ridge Rd
Port Washington, WI 53074-9674

Phone

(262) 284-0389

NPI assigned

May 13, 2010

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

Other names 1

• Mrs. Susan Ann Calteaux Former name

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1982922050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 LOWER RIDGE RD",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530749674",
            "telephone_number": "262-284-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 LOWER RIDGE RD",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530749674",
            "telephone_number": "262-284-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY-LARSON",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Mr.",
        "credential": "L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "309598-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CALTEAUX",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erick M Muhlenbeck, LPC, CSAC, ICS
• Kelly Mulder, COTA
• Jeffery David Murrie
• Kathleen Noetzel, MS CCC-SLP
• NSH Port Washington LLC
• Colleen J O'Neil
• Tedmond R O'Reilly, MD
• Ohana Ambulance and Emergency Medical Service LLC
• Jessica Ollman
• Nicole Olson, LCSW, CSAC

• Licensed Practical Nurse in Port Washington, WI
• Providers in Port Washington, 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 May 13, 2010; 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.