Renee Alexandra Matysik, RN, BSN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

239150 Issued in WI

Practice address

7111 N Rockledge Ave
Glendale, WI 53209-2943

Phone

(414) 550-8865

NPI assigned

Aug 7, 2019

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1033764824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 N ROCKLEDGE AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532092943",
            "telephone_number": "414-550-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 N ROCKLEDGE AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532092943",
            "telephone_number": "414-550-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATYSIK",
        "first_name": "RENEE",
        "middle_name": "ALEXANDRA",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "239150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidre Marsh, LCSW
• Judy Martinez, DVM
• Aaron J Mason, DDS
• Mass Medical Inc
• Julia Mattek, MSCCC-SLP
• Christopher Patrick McAboy, DDS
• Leah C McCann
• Rosalind McClain
• Janet Helen McClintock, RN, MSN, LPC, MS
• David F McCoy, PT

• Home Health Registered Nurse in Glendale, WI
• Providers in Glendale, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.