Lana R. Buttke, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3005 Issued in WI

Practice address

21425 Spring St
Union Grove, WI 53182-9707

Phone

(262) 878-7001

Fax

(262) 878-7024

NPI assigned

Jan 8, 2008

Last updated

Nov 6, 2012By 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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1316122369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21425 SPRING ST",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531829707",
            "telephone_number": "262-878-7001",
            "fax_number": "262-878-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21425 SPRING ST",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531829707",
            "telephone_number": "262-878-7001",
            "fax_number": "262-878-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTKE",
        "first_name": "LANA",
        "middle_name": "R.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ellen Beumel, PSYD
• Mary E Bienemann, MD
• Abigail Bird
• Lauren Jean Bostanche, DDS
• Valerie Buisse, MS, LPC
• Brandon Kevin Caldwell
• Jerry Lee Ceilesh, D.D.S.
• Trisha Commodore, RN
• Andrew J Connolly, PT, OCS, FAAOMPT
• Amanda Marie Czajkowski, LPC

• Nurse Practitioner in Union Grove, WI
• Providers in Union Grove, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.

Verify at the official NPI Registry.