Katherine Ann Bongel, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

11076031 Issued in WI

Practice address

133 S Oneida St
Green Bay, WI 54303-1920

Phone

(920) 494-7551

NPI assigned

Apr 22, 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

Other names 1

• Miss Katherine Ann Karnopp Former name

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1497929491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S ONEIDA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031920",
            "telephone_number": "920-494-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S ONEIDA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031920",
            "telephone_number": "920-494-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGEL",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "11076031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35042500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "KARNOPP",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven James Bollom, MD
• Amie Rose Bomber
• Steven A Bomkamp, APNP
• Antonino Bommarito, PA-C
• Lynn Marie Bond, PHARMACIST
• Edward J Bongiorno, DO
• Andrea Bonnin
• Julie Bonnin, MD
• April C Borchardt, DPM
• Denise Borchardt, PT

• Licensed Practical Nurse in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.