Active NPI
Becky Lynn Stowers I, BSN, RN
- Registered Nurse
- Deerfield, WI
National Provider Identifier
1124526413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 90392
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 90392 | WI | MD | Registered 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.