Linda Jean Decleene, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

112388-30 Issued in WI

Practice address

252 Valley View Dr
Brillion, WI 54110-1420

Phone

(920) 327-0103

NPI assigned

May 17, 2010

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1326367251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 VALLEY VIEW DR",
            "city": "BRILLION",
            "state": "WI",
            "postal_code": "541101420",
            "telephone_number": "920-327-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 VALLEY VIEW DR",
            "city": "BRILLION",
            "state": "WI",
            "postal_code": "541101420",
            "telephone_number": "920-327-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLEENE",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "112388-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richelle L. Bruette
• Vineta Caune-Meyer, LMT
• City of Brillion
• Community Eyecare Inc
• Nathan Steven Cummings, D.C.
• Amy Lynn Fischer, RN
• Brooke Giltner, LAT, ATC
• Vernon Goin, D.D.S.
• Great Lakes EMS Inc.
• Groskopp Chiropractic, SC

• All providers in Brillion, WI
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.