Danielle Marie Reysen, CCSH

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

111 Issued in WI

Practice address

381 Palmer Ave
Green Lake, WI 54941-9783

Phone

(920) 572-0800

NPI assigned

May 22, 2019

Last updated

May 22, 2019By 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 4

Addresses

Other names 1

• Danielle Marie Reysen Former name

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1649837857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 PALMER AVE",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549419783",
            "telephone_number": "920-572-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 PALMER AVE",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549419783",
            "telephone_number": "920-572-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYSEN",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "CCSH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "WI",
            "license": "545",
            "primary": false
        },
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": "WI",
            "license": "3348",
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "WI",
            "license": "3348",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "WI",
            "license": "111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "REYSEN",
            "middle_name": "MARIE",
            "credential": "CCSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trixie Murphy, LCSW, SAC-IT
• Carrie Nitz, SAC-IT
• Lauren Renee Olson
• Colleen Pomplun, DC
• Eric G Ratering, D.M.D.
• Sara Rose Rhode, LCSW, CSAC, ICS
• Lisa Ann Rollin, RN
• Sandra Schwoerer, MSN, FNP
• Wesley A Shemanski
• Abby Noel Vogt

• Health Educator in Green Lake, WI
• Providers in Green Lake, WI by specialty
• Health Educator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.