Rebecca Clare Rusch, DIABETIC EDUCATOR

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

227541 Issued in WI

Practice address

5300 Memorial Dr
Two Rivers, WI 54241-3923

Phone

(920) 793-7332

Fax

(920) 793-7304

NPI assigned

Oct 24, 2023

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1073385050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 BARKWOOD LN",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542201654",
            "telephone_number": "920-901-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MEMORIAL DR",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413923",
            "telephone_number": "920-793-7332",
            "fax_number": "920-793-7304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Dewey St",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542205497",
            "country_code": "US",
            "telephone_number": "920-793-7332",
            "fax_number": "920-793-7304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSCH",
        "first_name": "REBECCA",
        "middle_name": "CLARE",
        "credential": "DIABETIC EDUCATOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "WI",
            "license": "227541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert a. Gahl, M.D., Faafp, S.C.
• RS Caring LLC
• Jamie Ruh
• Melissa V Rukamp, MACC, LPC-IT
• Michelle K Rusboldt, LCSW
• Susan E Sachse, MOT, OTR
• Safe Harbor Counseling and Wellness LLC
• Daniel Salinsky, M.D.
• Linda Sand
• Thomas J Saphner, M.D.

• Diabetes Educator Registered Nurse in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Diabetes Educator Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.