Hallie Elizabeth Wiertzema, R.N.

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

Practice address

460 N Jefferson St
Richland Center, WI 53581-1833

Phone

(608) 649-2705

NPI assigned

Feb 6, 2007

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

Other identifiers 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710027313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N JEFFERSON ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535811833",
            "telephone_number": "608-649-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N JEFFERSON ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535811833",
            "telephone_number": "608-649-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERTZEMA",
        "first_name": "HALLIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38267700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cara Watson
• John Wentz, MD
• Williams & Pearce Family Dental SC
• Thomas G Williams, DDS
• Virginia L Wittman, SAC-IT, IMHC
• Michael Witzke, MSW, APSW
• Caitlin Wolfgram, PHARMD

• Critical Care Medicine Registered Nurse in Richland Center, WI
• Providers in Richland Center, WI by specialty
• Critical Care Medicine Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.