Active NPI
Danielle Rekitzke
- Surgical Assistant
- Lowell, IN
National Provider Identifier
1043868839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 19-324
- Practice address
- 745 Hiawatha CT
Lowell, IN 46356-1631 - Phone
- (219) 671-8714
- NPI assigned
- Aug 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 19-324 | IN | Primary |
Addresses
Primary practice location
745 Hiawatha CT
Lowell, IN 46356-1631
Mailing address
745 Hiawatha CT
Lowell, IN 46356-1631
Phone (219) 671-8714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-324 | IN | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1043868839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 HIAWATHA CT",
"city": "LOWELL",
"state": "IN",
"postal_code": "463561631",
"telephone_number": "219-671-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 HIAWATHA CT",
"city": "LOWELL",
"state": "IN",
"postal_code": "463561631",
"telephone_number": "219-671-8714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REKITZKE",
"first_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IN",
"license": "19-324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, IN
- Randall Hile MD PC
- Molly Ray, MA
- Alysha Marie Rechlicz, BS, ACIT
- Jeannette Reed, NP
- Region Health and Wellness LLC
- Haley J Ritchie, PT, DPT
- Robert W Moses OD Professional Corp. (Moses EyeCare Centers)
- Barbara Thompson Rohe, P.T.
- Donna Marie Rosaves, CD DOULA
- Route 2 Wellness, P.C. (Priority Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.