Active NPI
Lisa Bohlmann, RDH
- Dental Hygienist
- Appleton, WI
National Provider Identifier
1528830494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4722-016
- Practice address
- 5337 W Grande Market Dr
Appleton, WI 54913-8442 - Phone
- (920) 731-7445
- NPI assigned
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4722-016 | WI | Primary |
Addresses
Primary practice location
5337 W Grande Market Dr
Appleton, WI 54913-8442
Mailing address
1709 Dublin TRL Apt 23
Neenah, WI 54956-8904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4722-016 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1528830494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 DUBLIN TRL APT 23",
"city": "NEENAH",
"state": "WI",
"postal_code": "549568904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5337 W GRANDE MARKET DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138442",
"telephone_number": "920-731-7445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHLMANN",
"first_name": "LISA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "4722-016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.