Kelsey Dautermann

Primary specialty

PharmacistTaxonomy code 183500000X

License

17113-40 Issued in WI

Practice address

1400 E Inman Pkwy
Beloit, WI 53511-1774

Phone

(608) 361-6705

NPI assigned

Dec 5, 2019

Last updated

May 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1467099630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E INMAN PKWY",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E INMAN PKWY",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111774",
            "telephone_number": "608-361-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUTERMANN",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051304933",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "17113-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta M Cribben, DC
• Alicia L Culver
• Wendi R Curry
• Joan M Curtis, LPC-IT
• Cindy I Damon, APNP
• Jacqueline Davis, L.P.N
• Sophia Davis
• Iain W. Decker, DO
• Judy Ann Decker
• Karla J. Degarmo-Haakenson, LCSW

• Pharmacist in Beloit, WI
• Providers in Beloit, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.