John A Liebzeit, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

171149-30 Issued in WI

Practice address

411 Jepson Rd
Clintonville, WI 54929-8400

Phone

(715) 823-5110

NPI assigned

Jan 25, 2010

Sex

Male

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": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1124359500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 JEPSON RD",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549298400",
            "telephone_number": "715-823-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 JEPSON RD",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549298400",
            "telephone_number": "715-823-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBZEIT",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "171149-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Korslin, PTA
• Chris Todd Krueger, D.C.
• Sarah Krueger, RN
• Angela Lynne Kuechler, DPT
• Curtis Leider
• Christopher Lopez, OD
• Mark J. Pensis Chiropractic, S.C.
• Briana Zoe McAuly, FNP, APNP
• Janette R McDonough, LPC
• Kyle McGilligan, PHARMD

• Home Health Registered Nurse in Clintonville, WI
• Providers in Clintonville, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.