Individual provider Active NPI

Becky Lynn Stowers I, BSN, RN

  • Registered Nurse
  • Deerfield, WI
National Provider Identifier
1124526413
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
90392 Issued in WI
Practice address
1515 Hommen Rd
Deerfield, WI 53531-9678
Phone
(608) 444-0774
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 90392 WI Primary

Addresses

Primary practice location

1515 Hommen Rd
Deerfield, WI 53531-9678

Mailing address

840 20TH St Apt 4
Prairie Du Sac, WI 53578-2103
Phone (608) 334-4929

Other practice location 1

1515 Hommen Rd
Deerfield, WI 53531-9678
Phone (608) 444-0774

Other practice location 2

1515 Hommen Rd
Deerfield, WI 53531-9678
Phone (608) 444-0774

Other names 1

  • Mrs. Becky Lynn Roelke Former name

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
90392WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124526413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 20TH ST APT 4",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782103",
            "telephone_number": "608-334-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOMMEN RD",
            "city": "DEERFIELD",
            "state": "WI",
            "postal_code": "535319678",
            "telephone_number": "608-444-0774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Hommen Rd",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "WI",
            "postal_code": "535319678",
            "country_code": "US",
            "telephone_number": "608-444-0774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Hommen Rd",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "WI",
            "postal_code": "535319678",
            "country_code": "US",
            "telephone_number": "608-444-0774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOWERS",
        "first_name": "BECKY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "90392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "ROELKE",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deerfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.