Kelly Weisse, R.N.

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

185704-30 Issued in WI

Practice address

322 Washburn Rd
Deerfield, WI 53531-9577

Phone

(608) 764-1492

NPI assigned

Dec 6, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1194156794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 WASHBURN RD",
            "city": "DEERFIELD",
            "state": "WI",
            "postal_code": "535319577",
            "telephone_number": "608-764-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 WASHBURN RD",
            "city": "DEERFIELD",
            "state": "WI",
            "postal_code": "535319577",
            "telephone_number": "608-764-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSE",
        "first_name": "KELLY",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "185704-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SKJ Inc.
• Charles Grady Stepherson, DO
• Jennifer F Stevens, MD
• Becky Lynn Stowers I, BSN, RN
• Hanna Marie Thompson, RN
• Sasha Catherine Westphal, RN
• Maria Kathleen Yanke, RN, BSN

• All providers in Deerfield, WI
• General Practice Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.