Jessica Phalen, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

133089-30 Issued in WI

Practice address

1900 N Dewey Ave
Reedsburg, WI 53959-2214

Phone

(608) 524-6477

Fax

(608) 524-8305

NPI assigned

Dec 29, 2015

Last updated

Dec 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1265897649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592214",
            "telephone_number": "608-524-6477",
            "fax_number": "608-524-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592214",
            "telephone_number": "608-524-6477",
            "fax_number": "608-524-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHALEN",
        "first_name": "JESSICA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "WI",
            "license": "133089-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Passehl, APNP, FNP-C
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• Delaney Peterson
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• Michelle Petkovsek, RDN, CD
• Katie M Porter, PA-C, ATC
• Danielle Powell
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• Joe G Prell, O.D.
• Joan L. Pulvermacher, NP

• Diabetes Educator Registered Nurse in Reedsburg, WI
• Providers in Reedsburg, WI by specialty
• Diabetes Educator Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.