Kathleen L Ludwikowski

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4688-33 Issued in WI

Practice address

317 Dewitt St
Portage, WI 53901-2155

Phone

(608) 297-9680

Fax

(608) 745-1757

NPI assigned

Aug 24, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K C a S ENT Inc.

  dba Child Assessment/Family Care

  • Pediatric Nurse Practitioner
  • Marengo, IL
  • NPI 1659373132

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1073506119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5427 COUNTY ROAD Y",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539498307",
            "telephone_number": "608-297-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 DEWITT ST",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012155",
            "telephone_number": "608-297-9680",
            "fax_number": "608-745-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIKOWSKI",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "4688-33",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "4688-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Lindquist, DPT
• Laurie Linzing
• Gabrielle Lois, RDN, CD.
• Gillian H Luchsinger, MSW,APSW
• Meredith Ludwig
• Emily Lugo, PT, DPT
• Crystal Lee Lumby, LPC, NCC
• Kashea Lyfoung, PHARM.D.
• Craig N Magnes, MD
• Nicole Marie Marginean, RN

• Pediatric Nurse Practitioner in Portage, WI
• Providers in Portage, WI by specialty
• Pediatric Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.