Debra Sue Pollesch, RN, IBCLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

117057-030 Issued in WI

Practice address

8707 W. North Ave.
Wauwatosa, WI 53226-2723

Phone

(414) 940-9262

NPI assigned

Nov 23, 2009

Sex

Female

Sole proprietor

Yes

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": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1235467721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 N 82 ST.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224816",
            "telephone_number": "414-940-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 W. NORTH AVE.",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262723",
            "telephone_number": "414-940-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLESCH",
        "first_name": "DEBRA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "117057-030",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WI",
            "license": "10421156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elizabeth Poe, MSW,LCSW
• Emily Pokorny, APNP
• Amanda Lyn Polachek
• Stephanie Lynn Poliquin
• Neal Howard Pollack, D.O.
• Russell Pope, M.S., LPC
• Monique NE'Sha Portwood, MA, LPC-IT
• Leah Arlene Pounds, LPC-IT, SAC-IT
• Rachel L Prakash, OT
• Tiffany Marie Prather, PSYD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.