School Sisters of Notre Dame Central Pacific Province, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC PROVINCE, INC.

Practice address

13105 Watertown Plank Rd
Elm Grove, WI 53122-2213

Phone

(262) 782-9850

Fax

(262) 784-9788

NPI assigned

Feb 24, 2012

Last updated

Sep 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Russart

Title

Cfo

Phone

(262) 782-9850

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1992079891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13105 WATERTOWN PLANK RD",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222213",
            "telephone_number": "262-782-9850",
            "fax_number": "262-784-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13105 WATERTOWN PLANK RD",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222213",
            "telephone_number": "262-782-9850",
            "fax_number": "262-784-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC PROVINCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "RUSSART",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "262-782-9850"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Carlos Sanchez, PSY.D.
• Sara Saunders, LPC CSAC
• Susan M Schaefer, LPN
• Jesse Schaetzel, PHARMD
• Jacob Schmieg
• Tabitha Schroeder
• Susan M.R. Schultz, PTA
• Laura Lynn Schulz, LCSW
• Samantha Schwartz, PSYD
• Annamarie Seminary

• Non-Pharmacy Dispensing Site in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Non-Pharmacy Dispensing Site in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.