Kathleen Marie Gosenheimer, R.N.
Individual provider Active NPI Home Health Registered Nurse · Greendale, WI
NPI 1154380764 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1154380764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 79598-030 (WI)
- Practice address
- 5890 Fulham CT
Greendale, WI 53129-2132 - Phone
- (414) 628-0544
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79598-030 | WI | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 79598-030 | WI | Yes |
Addresses
Primary practice location
5890 Fulham CT
Greendale, WI 53129-2132
Mailing address
5890 Fulham CT
Greendale, WI 53129-2132
Phone (414) 628-0544
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38215800 | Medicaid | WI |
Other providers in Greendale, WI
- Alfredo Aguilar Garcia
- Anil Kumar Garg
- Dorian Sue Geschke
- Ann Margaret Gieschen-Salazar
- Mariska Cornelia Goebel
- William Peter Goulding
- Brian Goyette
- Stephen Gradinjan
- Greendale Chiropractic LLC
- Greendale Dental Associates, S.C.
All providers in Greendale, WI · Home Health Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.