Lynn D. Rezachek, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

82150-030 Issued in WI

Practice address

141 Siegler St
Green Bay, WI 54303-2635

Phone

(920) 497-3126

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

Yes

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104845387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N 7TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203917",
            "telephone_number": "920-684-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SIEGLER ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032635",
            "telephone_number": "920-497-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZACHEK",
        "first_name": "LYNN",
        "middle_name": "D.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "82150-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joseph Reynders, M.D.
• William M Reynders, MD
• Kylie Reynebeau
• Kathleen F. Reynolds, RN
• Pamela Norma Reynolds, CRNA
• Shelly Reznichek, PT
• Brennan Elizabeth Rhea, CAA
• Jennifer Morris Rhode, M.D.
• Lydia Ann Ribera, CNM,APNP
• Carrie Ann-Busch Ricci, MD

• Registered Nurse in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.