Joanne Marie Rehard, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

34065-031 Issued in WI

Practice address

W. 5567 Plantation Rd.
Elkhorn, WI 53121

Phone

(262) 742-2434

NPI assigned

Oct 26, 2006

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

Other identifiers 1

Other names 1

• Mrs. Joanne Marie Petermann 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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013092915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W. 5567 PLANTATION RD.",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "53121",
            "telephone_number": "262-742-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W. 5567 PLANTATION RD.",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "53121",
            "telephone_number": "262-742-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHARD",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "34065-031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39969900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "PETERMANN",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "L.P.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Elizabeth Ramm, M.D.
• Anas Rattani
• Alexandria Read, OTR/L
• Heather Jane Recklies, RN
• Ajay K Reddy, MD
• Carley Reis, MD
• Kristi L Reynolds
• Shirley Reynolds, LPN
• Sue Rich, RN, MS, CDE
• Devin Clifford Ringwald, MD

• Licensed Practical Nurse in Elkhorn, WI
• Providers in Elkhorn, 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 Jul 9, 2007; 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.