Rita Braund, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

135-023 Issued in WI

Practice address

370 S Main St
Clintonville, WI 54929-1632

Phone

(715) 823-5161

NPI assigned

Jul 7, 2006

Last updated

Oct 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1538191630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8003",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549128003",
            "telephone_number": "920-996-3298",
            "fax_number": "920-738-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S MAIN ST",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291632",
            "telephone_number": "715-823-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUND",
        "first_name": "RITA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "135-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42905100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "009845003",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley K Ballard, PT
• Casey Anne Bartz, PHARM D
• Brandon Joseph Poul Bernardo, PT, DPT
• Jodi A Boutott, PT
• Bobbi R. Brahan, PHARMD
• Shannon Buettner
• Cheryl Mae Chapin, M.S., LPC
• Clintonville Area Ambulance Service
• Clintonville Chiropractic Inc
• Clintonville Public School District

• Physician Assistant in Clintonville, WI
• Providers in Clintonville, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.