Active NPI
Kaye Lynn Nowobielski, RDH
- Dental Hygienist
- Neillsville, WI
National Provider Identifier
1093380552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 10289-016
- Practice address
- 517 Court St RM 105
Neillsville, WI 54456-1982 - Phone
- (715) 743-6985
- Fax
- (715) 743-5115
- NPI assigned
- May 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 10289-016 | WI | Primary |
Addresses
Primary practice location
517 Court St RM 105
Neillsville, WI 54456-1982
Mailing address
W9742 County Rd N
Thorp, WI 54771-7614
Phone (715) 829-6731
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10289-016 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1093380552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W9742 COUNTY RD N",
"city": "THORP",
"state": "WI",
"postal_code": "547717614",
"telephone_number": "715-829-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 COURT ST RM 105",
"city": "NEILLSVILLE",
"state": "WI",
"postal_code": "544561982",
"telephone_number": "715-743-6985",
"fax_number": "715-743-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWOBIELSKI",
"first_name": "KAYE",
"middle_name": "LYNN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "10289-016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neillsville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.