Harley Jean Paulsen

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2321 Jackson St
Stoughton, WI 53589-5405

Phone

(608) 877-1227

Fax

(608) 877-1241

NPI assigned

Nov 17, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stoughton Meadows Assisted Living Facility

  • Assisted Living Facility
  • Stoughton, WI
  • NPI 1811590557
  NPD Authorized official

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1700489481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 JACKSON ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535895405",
            "telephone_number": "608-877-1227",
            "fax_number": "608-877-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 JACKSON ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535895405",
            "telephone_number": "608-877-1227",
            "fax_number": "608-877-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "HARLEY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "harley.paulsen@stoughtonmeadows.com",
            "affiliation": "N",
            "address_1": "2321 Jackson St",
            "city": "Stoughton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535895405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martha Elizabeth Oldenburg, STUDENT
• Jeani M Oppeneer, LPC
• Jane Sue Pagel, RN
• Lynelle M Palma, PT
• Sarjoo B Patel, M.D.
• Denise Rae Perry, PTA
• Katelyn Annette Peters, MD
• Jodi Leigh Petersen, R.N.
• Karen Kristen Phillips, R.N.
• Katelyn Piddington, PHARMD

• All providers in Stoughton, WI
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.