Dana Lynn Erickson, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

591-026 Issued in WI

Practice address

611 Mill St
Horicon, WI 53032-1461

Phone

(920) 485-4423

Fax

(920) 485-4318

NPI assigned

Jan 16, 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

Other names 1

• Mrs. Dana Lynn Gulke Other name

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114078037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 LYNN ST",
            "city": "HORICON",
            "state": "WI",
            "postal_code": "530321110",
            "telephone_number": "920-485-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MILL ST",
            "city": "HORICON",
            "state": "WI",
            "postal_code": "530321461",
            "telephone_number": "920-485-4423",
            "fax_number": "920-485-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "591-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "GULKE",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Borja, D.D.S.
• City of Horicon
• Robyn Dugan
• John Henry Eidem, DC
• Steven Eidem, D.C.
• Jean Esser, D.D.S.F.A.G.D.
• Esser, Krueger & Borja DDS SC
• Claire Frickenstein, PHARMD
• Ruth Marie Grams, APNP,
• Kathleen A Hagen, RN

• Specialist in Horicon, WI
• Providers in Horicon, WI by specialty
• Specialist 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.