Lisa E. Dudzinske, C.O.T.A.

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

577-27 Issued in WI

Practice address

2801 W Kinnickinnic River Pkwy Ste 160
Milwaukee, WI 53215-3699

Phone

(414) 649-7946

Fax

(414) 385-8799

NPI assigned

Aug 15, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aurora Health Care Metro, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1861447179
  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1558815951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 160",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153699",
            "telephone_number": "414-649-7946",
            "fax_number": "414-385-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 160",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153699",
            "telephone_number": "414-649-7946",
            "fax_number": "414-385-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDZINSKE",
        "first_name": "LISA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "577-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Taylor Dudek
• Molly Burke Dudek, PTA
• Dudley & Turner Home Health Solutions Inc.
• Karan Elaine Dudley, LPN
• Laurie R Dudley, PTA
• David K. Dueker, M.D.
• Sofia Marie Dueno, MD
• Jennifer Keri Duerr, RN BSN CPN
• Abigail Duerst
• Meghan Elizabeth Duerst, MS, OTR/L

• Occupational Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.