Brianna Rae Martha Hettenhaus, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

254767 Issued in WI

Practice address

2842 S Business Dr
Sheboygan, WI 53081-6518

Phone

(920) 547-3639

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1083315667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PALMAR PL",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354738",
            "telephone_number": "920-602-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 S BUSINESS DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816518",
            "telephone_number": "920-547-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTENHAUS",
        "first_name": "BRIANNA",
        "middle_name": "RAE MARTHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "254767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Andrea Hertel, CF-SLP
• Pamela Kay Hertel, MS, LCSW, LPC
• Justin David Heser, M.D.
• George L Hess, M.D.
• George L Hess III, DDS
• Megan Lindsay Hetzner, CNM, APRN
• Benjamin Thomas Heuser, DPT
• Alyssa Joy Hiebing, 318343-31
• Joseph S Higgins Jr., PHARMD
• Pamela A Higgins, NP

• Registered Nurse in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.