Jamie Dean Bauknecht, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

318868 Issued in WI

Practice address

3144 Vanzile Rd
Crandon, WI 54520-8149

Phone

(715) 478-5180

Fax

(715) 478-7659

NPI assigned

Jun 25, 2018

Last updated

Jun 25, 2018By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1689169492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 VANZILE RD",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545208149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 VANZILE RD",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545208149",
            "telephone_number": "715-478-5180",
            "fax_number": "715-478-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUKNECHT",
        "first_name": "JAMIE",
        "middle_name": "DEAN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "318868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coleen Asbach
• Abigail B Ashbeck, LCSW
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Crandon Clinic)
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Crandon Clinic)
• Diane M Baird, LICENSED PROFESSIONA
• William Dale Becker, O.D.
• Karen A Beimborn, MEDICINE SURGERY MD
• Bobbi Jo Kapla Bissonette, APNP
• Nicholas Bolte
• Amy E Booher, APSW

• Licensed Practical Nurse in Crandon, WI
• Providers in Crandon, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.