Active NPI
Rebecca Lamson Nitsche, C.P.O.
- Orthotist
- Madison, WI
National Provider Identifier
1073999462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.