Individual provider Active NPI

Rebecca Lamson Nitsche, C.P.O.

  • Orthotist
  • Madison, WI
National Provider Identifier
1073999462
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Practice address
4602 Eastpark Blvd
Orthotics Room 1814
Madison, WI 53718-2002
Phone
(608) 712-5645
Fax
(608) 262-8539
NPI assigned
Aug 7, 2015
Last updated
Apr 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU Primary
Prosthetist 224P00000X WI

Addresses

Primary practice location

4602 Eastpark Blvd
Orthotics Room 1814
Madison, WI 53718-2002

Mailing address

4602 Eastpark Blvd
Orthotics Room 1814
Madison, WI 53718-2002
Phone (608) 712-5645

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

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1073999462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 EASTPARK BLVD",
            "address_2": "ORTHOTICS ROOM 1814",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182002",
            "telephone_number": "608-712-5645",
            "fax_number": "608-262-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 EASTPARK BLVD",
            "address_2": "ORTHOTICS ROOM 1814",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182002",
            "telephone_number": "608-712-5645",
            "fax_number": "608-262-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMSON NITSCHE",
        "first_name": "REBECCA",
        "credential": "C.P.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.