Gabrielle Kakuske, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

264386-30 Issued in WI

Practice address

1312 Barberry Dr Ste 110
Janesville, WI 53545-0589

Phone

(608) 758-1944

NPI assigned

Jul 25, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ams of Wisconsin-Janesville, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1578234902
  NPD
• Quality Addiction Management Inc

  • Methadone Clinic
  • Green Bay, WI
  • NPI 1629282470
  NPD (past)

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1316673296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 BARBERRY DR STE 110",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450589",
            "telephone_number": "608-758-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 BARBERRY DR STE 110",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450589",
            "telephone_number": "608-758-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKUSKE",
        "first_name": "GABRIELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "264386-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578234902",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Rae Jones, CCC-SLP
• Rachel E Jorgenson, LPC
• Laurette Lyn Juarez Beard, RN
• Furkhan Kachhawala, MD
• Caroline J Kaiser, N.D.
• Katheryn R Kaldor, DO
• Jayne Kalemba, LPN
• Robert L Kalember, MD
• Richard J Kallio, R.PH.
• Lubin Kan, MD, PHD

• Addiction (Substance Use Disorder) Registered Nurse in Janesville, WI
• Providers in Janesville, WI by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.