Katie Lyn Poole, DNP, MSN, BSN-RN
Individual provider Active NPI Registered Nurse · Cottage Grove, WI
NPI 1497549570 · NPPES record last updated Apr 5, 2025
Key facts
- NPI
- 1497549570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 258289-30 (WI)
- Practice address
- 700 Stoney Hill LN
Cottage Grove, WI 53527-9182 - Phone
- (608) 598-0880
- NPI assigned
- Apr 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258289-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 258289-30 | WI | Yes |
Addresses
Primary practice location
700 Stoney Hill LN
Cottage Grove, WI 53527-9182
Mailing address
700 Stoney Hill LN
Cottage Grove, WI 53527-9182
Phone (608) 598-0880
Other providers in Cottage Grove, WI
- Courtney Noel
- Colleen Grace Pallardy
- Pediatric Therapy Garden
- Amanda J Pennekamp
- Lisa M Pietrowiak
- Courtney Christina Rucks
- Caroline Jean Ruppert
- Lane Michael Schemel
- Elizabeth Schnell
- Shared Medical Services, Inc.
All providers in Cottage Grove, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.