Active NPI
Heather Marie Krause, RN, BSN
- Plastic Surgery Registered Nurse
- Appleton, WI
National Provider Identifier
1619454790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Registered Nurse
- License
- 163191-30
- Practice address
- 332 N Mall Dr
Appleton, WI 54913-8567 - Phone
- (920) 730-1309
- NPI assigned
- Jul 23, 2018
- Last updated
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic Surgery Registered Nurse | 163WS0121X | 163191-30 | WI | Primary |
Addresses
Primary practice location
332 N Mall Dr
Appleton, WI 54913-8567
Mailing address
897 McKinley Ave
Omro, WI 54963-2001
Phone (920) 229-6978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163191-30 | Other | WI | STATE OF WISCONSIN LICENSE |
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163191-30 | WI | MD | Plastic Surgery Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1619454790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "897 MCKINLEY AVE",
"city": "OMRO",
"state": "WI",
"postal_code": "549632001",
"telephone_number": "920-229-6978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 N MALL DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138567",
"telephone_number": "920-730-1309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "HEATHER",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "WI",
"license": "163191-30",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN LICENSE",
"identifier": "163191-30",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.