Direct Medical Access Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

100032541 Issued in WI

Legal business name

DIRECT MEDICAL ACCESS SERVICES

Practice address

638 W Main St
Suite a
Lake Geneva, WI 53147-1908

Phone

(262) 215-9085

Fax

(262) 248-3801

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Ann Klipp

Title

Owner Administrator

Phone

(262) 903-4455

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1174931836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 W MAIN ST",
            "address_2": "SUITE A",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471908",
            "telephone_number": "262-215-9085",
            "fax_number": "262-248-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W MAIN ST",
            "address_2": "SUITE A",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471908",
            "telephone_number": "262-215-9085",
            "fax_number": "262-248-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MEDICAL ACCESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "KLIPP",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "262-903-4455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": "100032541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100032541",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Depietro, DPT
• Julia R Dewey, M.D.
• Tina Marie Dewing, RN
• Crystal J Dillett, NP
• Robert C Dillman, D.D.S.
• John Michael Disabato Jr.
• Discovering Pathways Inc
• Millicent Joanna Doud, NURSE PRACTITIONER
• Madalyn R Douglas, DPT
• Dr. Daniel Bishop

• In Home Supportive Care Agency in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.