Center for Restorative Medicine LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CENTER FOR RESTORATIVE MEDICINE LLC

Practice address

275 N Main St
Sheboygan Falls, WI 53085-3315

Phone

(920) 467-1697

NPI assigned

Jan 17, 2022

Last updated

Jan 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Dittbrender

Title

Insurance Manager

Phone

(920) 467-1697

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brady Stefanczyk

  • Behavior Technician
  • New Glarus, WI
  • NPI 1184479669
  NPD

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1164173555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N MAIN ST",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530853315",
            "telephone_number": "920-467-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N MAIN ST",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530853315",
            "telephone_number": "920-467-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RESTORATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "DITTBRENDER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "920-467-1697",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna C Birkholz, LPN
• Cari Ann Bollweg, D.O.
• Jacquelyn Brugger, PHARMD, RPH
• Danielle Cantu
• Natalie Carriere, LCSW
• Jennifer Ann Daggett, APNP
• Dlhomecare LLC (Comfort Keepers)
• Melinda Christine Duffy, PHARMD
• Brett Charles Egelseer, D.C.
• Katherine Joy Ellens, PTA

• Nurse Practitioner in Sheboygan Falls, WI
• Providers in Sheboygan Falls, WI by specialty
• Nurse Practitioner in Wisconsin

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