Active NPI
Tiffany Dahlke, APNP
- Family Nurse Practitioner
- Appleton, WI
National Provider Identifier
1194353763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9965-33
- Practice address
- W2654 County Road KK
Appleton, WI 54915-9468 - Phone
- (920) 830-2221
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9965-33 | WI | Primary |
Addresses
Primary practice location
W2654 County Road KK
Appleton, WI 54915-9468
Mailing address
PO Box 365
Oneida, WI 54155-0365
Phone (920) 869-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9965-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneida Nation | Current | Accepting new patients | |
| Neal Diabetic Foot and Ankle Center LLC | Current | Accepting new patients |
Locations
W2654 County Road KK
Appleton, WI 54915
Phone (920) 830-2221
525 Airport Dr
Oneida, WI 54155
Phone (920) 869-2711
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Oneida, WI
- NPI 1740278308
-
- Foot & Ankle Surgery Podiatrist
- Appleton, WI
- NPI 1154438810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1194353763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365",
"city": "ONEIDA",
"state": "WI",
"postal_code": "541550365",
"telephone_number": "920-869-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W2654 COUNTY ROAD KK",
"city": "APPLETON",
"state": "WI",
"postal_code": "549159468",
"telephone_number": "920-830-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLKE",
"first_name": "TIFFANY",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "9965-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.