Individual provider Active NPI

Jeanne S Zilske, MS, ATRL-BC

  • Art Therapist
  • Brookfield, WI
National Provider Identifier
1568524643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
48-036 Issued in WI
Practice address
12630 W North Ave
Eastbrook Office Park
Brookfield, WI 53005-4626
Phone
(262) 227-8959
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 48-036 WI Primary

Addresses

Primary practice location

12630 W North Ave
Eastbrook Office Park
Brookfield, WI 53005-4626

Mailing address

2730 Wynfield LN
Brookfield, WI 53045-3352
Phone (262) 227-8959

Other identifiers 1

IdentifierTypeStateIssuer
01-129OtherWIDRL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
48-036WIMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568524643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WYNFIELD LN",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453352",
            "telephone_number": "262-227-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 W NORTH AVE",
            "address_2": "EASTBROOK OFFICE PARK",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054626",
            "telephone_number": "262-227-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILSKE",
        "first_name": "JEANNE",
        "middle_name": "S",
        "credential": "MS, ATRL-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "WI",
            "license": "48-036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRL",
            "identifier": "01-129",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.