Carol Ann Pichette-Kros, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

149439-030 Issued in WI

Practice address

2979 Allied St
Ashwaubenon, WI 54304-5567

Phone

(920) 337-6740

Fax

(920) 337-6741

NPI assigned

Nov 21, 2008

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1639324320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 ALLIED ST",
            "city": "ASHWAUBENON",
            "state": "WI",
            "postal_code": "543045567",
            "telephone_number": "920-337-6740",
            "fax_number": "920-337-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 ALLIED ST",
            "city": "ASHWAUBENON",
            "state": "WI",
            "postal_code": "543045567",
            "telephone_number": "920-337-6740",
            "fax_number": "920-337-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHETTE-KROS",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "149439-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Jean Meier Lemoine, NP
• Chia Moua, DC
• Noelle Christine Muter, PMHNP-BC
• Jordyn E Pennings, PT
• Megan Jennifer Pfarr, DPT
• Nicole Ann Prokash, MS
• Lauren M Roethlisberger
• Karen A Sanchez, FNP-C
• Shannon Stuebs, PHD
• Shannon Opel Swift, PA-C

• Addiction (Substance Use Disorder) Registered Nurse in Ashwaubenon, WI
• Providers in Ashwaubenon, WI by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.