Kate Dobberstein

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

536336 Issued in WI

Practice address

2105 E Enterprise Ave Ste 113
Appleton, WI 54913-7862

Phone

(920) 216-6171

NPI assigned

Apr 29, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1316568504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 BARBARY LN",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549869660",
            "telephone_number": "920-216-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE STE 113",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-216-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBERSTEIN",
        "first_name": "KATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "WI",
            "license": "536336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kdobberstein@advancedptsm.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "2105 E Enterprise Ave Ste 113",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549137862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacey D Dimond, AUD
• Lori Ann Dissen, PTA, CWT
• Ruth Elizabeth Dixon, DC
• Erica Marie Dobberfuhl, LCSW
• Joan L. Dobberstein, P.T.
• Kayla Marie Dobbs, MT-BC, NMT, WMTR
• Jamie Alexa Docea
• Doctors Park Appleton LLC
• Jaclyn L Dodd, PTA
• William R Dodd, COTA

• Sports Medicine (Emergency Medicine) Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Sports Medicine (Emergency Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.