Lisa Pulkrabek Juettner, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1061886 Issued in MN

Practice address

506 Green Mill LN
Hudson, WI 54016-7539

Phone

(651) 260-6429

NPI assigned

Mar 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1174064448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 GREEN MILL LN",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167539",
            "telephone_number": "651-260-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GREEN MILL LN",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167539",
            "telephone_number": "651-260-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULKRABEK JUETTNER",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1061886",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "145094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Jo Prestrud, CD(DONA)
• Katherine Rose Priebe, PSY.D., P.C
• Heather Marie Printz, OTR/L
• Promed Preferred Wi SC
• Katherine M Prozeller, PSYD, MA, MBA
• James David Purdy, D.D.S.
• Kimberly Marie Quayle, OTR
• Wafa A Qureshi, DDS
• Elizabeth Joanne Radford, CNM
• Alexa Anastasia Raehsler

• Registered Nurse in Hudson, WI
• Providers in Hudson, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.