Active NPI
Nicholas Juleen, DVM
- Veterinarian
- Racine, WI
National Provider Identifier
1578601167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 5759-050
- Practice address
- 5748 Taylor Ave
Racine, WI 53403-9764 - Phone
- (262) 554-8666
- Fax
- (262) 554-8709
- NPI assigned
- Feb 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 5759-050 | WI | Primary |
Addresses
Primary practice location
5748 Taylor Ave
Racine, WI 53403-9764
Mailing address
550 W Riverwood Dr
Apt. 109
Oak Creek, WI 53154-7576
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 |
|---|---|---|---|
| 5759-050 | WI | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578601167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W RIVERWOOD DR",
"address_2": "APT. 109",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531547576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5748 TAYLOR AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534039764",
"telephone_number": "262-554-8666",
"fax_number": "262-554-8709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULEEN",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "WI",
"license": "5759-050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, 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.