Elizabeth Rose Koshatka

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1849 N Doctor M.L.K. Jr Dr
#102
Milwaukee, WI 53212

Phone

(414) 347-1774

NPI assigned

Feb 25, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1154077337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 E HIDDEN CREEK CT APT 202",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531544485",
            "telephone_number": "563-419-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 N DOCTOR M.L.K. JR DR",
            "address_2": "#102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-347-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHATKA",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pierre D Kory, M.D.
• Allison Michele Kos, DO
• Heather A Kosakoski, LPC
• Judith Budiono Kosasih, M.D.
• Damian Carl Kosempa, MD
• Rahul Koshy
• Rylee Kosiboski, RN
• Allison Kosinski, DPT
• Laura Beth Koss, LAT
• Elena A. Kossyreva, M.D.

• Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.