Jacqueline Kay Kuennen

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

049023 Issued in IA

Practice address

500 E Veterans St
Tomah, WI 54660-3105

Phone

(608) 372-1113

NPI assigned

Mar 16, 2009

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

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": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1508007980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 2ND AVE NE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721726",
            "telephone_number": "563-568-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E VETERANS ST",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546603105",
            "telephone_number": "608-372-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUENNEN",
        "first_name": "JACQUELINE",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "049023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene A Krok, PHARMD
• Anjela Kay Krome, O.D.
• Ashley Carissa Kromke, PHARMD
• Dean Robert Krueger, DO
• Michelle Lynn Kuehl
• Adekunle Gbadegesin Kuku, MD
• Jennifer Kukuk
• Andrea Kundert, R.D.
• Sue Ann Kuruzovich, MSSW
• L&P Services LLC

• Primary Care Nurse Practitioner in Tomah, WI
• Providers in Tomah, WI by specialty
• Primary Care Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.