Kellie Ann Steckbauer, BSN, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

224896-30 Issued in WI

Practice address

2743 Kegonsa Rd
Stoughton, WI 53589-3354

Phone

(608) 719-9214

NPI assigned

Sep 1, 2015

Last updated

Sep 1, 2015By 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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1033586565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 KEGONSA RD",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535893354",
            "telephone_number": "608-719-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 KEGONSA RD",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535893354",
            "telephone_number": "608-719-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKBAUER",
        "first_name": "KELLIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "224896-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Sperle, LPC
• Stephanie Ann Spieker
• Rebecca Lynne Spinsky, PTA
• Daniel J Staddler, MD
• Shelby Ann Stapelfeldt, LPN
• Jenifer Lee Stokstad, RN
• Laura D Stolcpart, MD
• Stoughton Area School District
• Stoughton Chemists Inc (McGlynn Pharmacy)
• Stoughton Eye Care & Eyewear LLC

• General Practice Registered Nurse in Stoughton, WI
• Providers in Stoughton, WI by specialty
• General Practice Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.