Active NPI
Katherine Lynn Stuckemeyer, MSW
- Social Worker
- Rhinelander, WI
National Provider Identifier
1427577287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 130052-121
- Practice address
- 1020 Kabel Ave
Rhinelander, WI 54501-3918 - Phone
- (715) 361-2805
- NPI assigned
- Sep 13, 2017
- Last updated
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 130052-121 | WI | Primary |
Addresses
Primary practice location
1020 Kabel Ave
Rhinelander, WI 54501-3918
Mailing address
788 Metaloon TRL
Eagle River, WI 54521-8052
Phone (715) 360-7373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130052-121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505260800000",
"number": "1427577287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 METALOON TRL",
"city": "EAGLE RIVER",
"state": "WI",
"postal_code": "545218052",
"telephone_number": "715-360-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 KABEL AVE",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545013918",
"telephone_number": "715-361-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKEMEYER",
"first_name": "KATHERINE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2017-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "130052-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.