Active NPI
Gretchen Anne Rothfelder
- Registered Nurse
- Wind Lake, WI
National Provider Identifier
1437322997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 15696
- Practice address
- 27036 Hart Dr
Wind Lake, WI 53185-1300 - Phone
- (262) 895-6614
- NPI assigned
- Apr 4, 2008
- Last updated
- Apr 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 15696 | WI | Primary |
Addresses
Primary practice location
27036 Hart Dr
Wind Lake, WI 53185-1300
Mailing address
27036 Hart Dr
Wind Lake, WI 53185-1300
Phone (262) 895-6614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35043500 | Medicaid | WI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1437322997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27036 HART DR",
"city": "WIND LAKE",
"state": "WI",
"postal_code": "531851300",
"telephone_number": "262-895-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27036 HART DR",
"city": "WIND LAKE",
"state": "WI",
"postal_code": "531851300",
"telephone_number": "262-895-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHFELDER",
"first_name": "GRETCHEN",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-04",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "15696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35043500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wind Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.