Jane A Williquette, CADCIII,CCSII

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

#1421 Issued in WI

Practice address

915 Viola Ave
Oshkosh, WI 54901

Phone

(920) 231-1104

NPI assigned

Jan 29, 2007

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

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104962380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 VIOLA AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012258",
            "telephone_number": "920-231-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 VIOLA AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54901",
            "telephone_number": "920-231-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIQUETTE",
        "first_name": "JANE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CADCIII,CCSII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WI",
            "license": "#1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Ralph Willert, D.D.S.
• Andrea L Williams, RN
• Debra A Williams, RN
• James Mashaun Williams, CSAC, LPC-IT, CSIT
• Stacey Lynn Williams, OTA
• Willow Tree Support Services LLC
• Kandace D Wilson, RN, BSN
• Madison D Wilson, APSW, SAC-IT
• Marjorie Ann Wilson
• Kirsten L Winger

• Substance Use Disorder Rehabilitation Clinic/Center in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center 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.