Shawna Rae Pientok, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

157875-030 Issued in WI

Practice address

305 W Broadway St
Blair, WI 54616-9365

Phone

(608) 989-2744

NPI assigned

Jan 15, 2009

Last updated

Jan 15, 2009By the provider in NPPES

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1467699215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 E MAIN ST",
            "city": "ARCADIA",
            "state": "WI",
            "postal_code": "546121626",
            "telephone_number": "608-797-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W BROADWAY ST",
            "city": "BLAIR",
            "state": "WI",
            "postal_code": "546169365",
            "telephone_number": "608-989-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIENTOK",
        "first_name": "SHAWNA",
        "middle_name": "RAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WI",
            "license": "157875-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Koxlien, D.C.
• Danielle Clare Matuszak, COTA
• Brittany Miller
• William G Miller
• Daniel Ben Molstad, RPH
• Teresa Marie Radcliffe, L.M.T
• Catherine W. Robertson, PT
• Madeleine Robinson
• School District of Blair Taylor
• Charles V Smith, D.D.S.

• Community Health Registered Nurse in Blair, WI
• Providers in Blair, WI by specialty
• Community Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.