Cynthia Kadziulis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

118424 - 030 Issued in WI

Practice address

9916 75TH St
Kenosha, WI 53142-7583

Phone

(262) 496-9394

NPI assigned

Dec 7, 2012

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1083959696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7528 PERSHING BLVD STE B-207",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424316",
            "telephone_number": "262-694-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583",
            "telephone_number": "262-496-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADZIULIS",
        "first_name": "CYNTHIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "118424 - 030",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.281469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faya Kacos-Shiu, LCSW
• Dianna Kaczmarek, OTR
• Katherine Leigh Kaczmarek, LCP-IT
• Pamela A Kaczmarek, PSYD
• Saba J Kadlec, MD
• Gregory Kaftan, MD
• Jenna Marie Kahne, NP
• Carey E Kalicki
• Peter Joseph Kalinka, O.D.
• Lauren Elizabeth Kalita, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.