Juliann Kay Dykstra, B.C.-H.I.S.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

402 Issued in WI

Practice address

5200 Washington Ave Ste 102
Racine, WI 53406-4238

Phone

(262) 637-5668

Fax

(262) 637-5009

NPI assigned

Mar 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeast Wisconsin Hearing, LLC

  • Hearing Aid Equipment
  • Racine, WI
  • NPI 1063716165
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1487825733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WASHINGTON AVE STE 102",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064238",
            "telephone_number": "262-637-5668",
            "fax_number": "262-637-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WASHINGTON AVE STE 102",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064238",
            "telephone_number": "262-637-5668",
            "fax_number": "262-637-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "JULIANN",
        "middle_name": "KAY",
        "credential": "B.C.-H.I.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42812800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nectarios Duchac
• Paul C. Durbin, M.D.
• Kizzie Marie Durgom, RN
• Mary C. Dutkiewicz, N.P.
• Richard Dvorsky, RPH
• Dynamic Potential
• E Bruns Foot and Ankle SC
• Valerie J Earl, LCSW
• Barbara L Earnest, M.D.
• Ears and Empathy

• Hearing Instrument Specialist in Racine, WI
• Providers in Racine, WI by specialty
• Hearing Instrument Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.