Sherry Ann Pribbernow, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

122198030 Issued in WI

Practice address

W2856 St Charles Rd
Chilton, WI 53014

Phone

(920) 849-4252

NPI assigned

Feb 2, 2006

Last updated

Mar 31, 2017By the provider in NPPES

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

Other identifiers 1

Other names 1

• Ms. Sherry Ann Buechel Former name

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1225000599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2856 ST CHARLES RD",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "53014",
            "telephone_number": "920-849-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W2856 ST CHARLES RD",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "53014",
            "telephone_number": "920-849-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIBBERNOW",
        "first_name": "SHERRY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "122198030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39939200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "BUECHEL",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "RN, CCM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Jean Owens, OTR/L
• Carmen Marie Persaud, LPC CSAC CSIT
• Jane Carol Pleshek, NURSE PRACTITIONER
• Michael Chistopher Popelars, DMD
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Craig D Rabideau, CST
• Debra Ann Rollmann, REGISTERED NURSE
• Tricia Ronk, RPH
• Tracy L Rosiek, O.D.
• Lisa Kaye Schabach, APNP

• Registered Nurse in Chilton, WI
• Providers in Chilton, 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 31, 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.