Patricia Jean Blankenmeyer Kohl

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

90912 Issued in WI

Practice address

N65W13822 Lilly Creek Dr
Menomonee Falls, WI 53051-6053

Phone

(262) 252-4154

NPI assigned

Mar 9, 2009

Last updated

Mar 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1619118486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N65W13822 LILLY CREEK DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N65W13822 LILLY CREEK DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516053",
            "telephone_number": "262-252-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENMEYER KOHL",
        "first_name": "PATRICIA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "90912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyad Bittar, DDS
• Samantha Goeke Blackburn, PA-C
• Steve L Blackburn, MHA, MPAS, PA-C
• David Warren Blanchard, D.D.S.
• Ryan Blaney, PT, DPT
• Kathleen Sue Blocher, M.D.
• Melissa Block
• Nicholas Edward Blonien, D.O.
• Todd Boffeli, M.D.
• Lauren Marie Boldt, OTR

• Registered Nurse in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.