Individual provider Active NPI

Renee Debrot

  • Driver
  • Hayward, WI
National Provider Identifier
1144184615
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
D1637367087103 Issued in WI
Practice address
9940 N County Hwy K
Hayward, WI 54843-4277
Phone
(715) 638-5100
Fax
(715) 634-6107
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X D1637367087103 WI Primary

Addresses

Primary practice location

9940 N County Hwy K
Hayward, WI 54843-4277

Mailing address

9940 N County Hwy K
Hayward, WI 54843-4277
Phone (715) 638-5100

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

State licenses

LicenseStateTypeSpecialty
D1637367087103WIMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1144184615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 N COUNTY HWY K",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548434277",
            "telephone_number": "715-638-5100",
            "fax_number": "715-634-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 N COUNTY HWY K",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548434277",
            "telephone_number": "715-638-5100",
            "fax_number": "715-634-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROT",
        "first_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WI",
            "license": "D1637367087103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.