Roseann M. Dichraff, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1340-033 Issued in WI

Practice address

1821 S Webster Ave
Vascular Surgery
Green Bay, WI 54301-2253

Phone

(920) 431-1941

NPI assigned

Jun 2, 2009

Last updated

Dec 15, 2009By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1730315987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 PICKARD CIR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011937",
            "telephone_number": "920-432-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S WEBSTER AVE",
            "address_2": "VASCULAR SURGERY",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012253",
            "telephone_number": "920-431-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICHRAFF",
        "first_name": "ROSEANN",
        "middle_name": "M.",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1340-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43848400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Dhuey
• Joseph Di Biase
• Steffany Marie Di Biase
• Fatima Tahera Diaban, DO
• Danielle Dicarlo-Pamperin, LCSW
• William M Dichraff, DDS
• Suzette Carolyn-Eve Diederich, M.S. ED., L.P.C.
• Ashley L Diedrich, AA
• Celia M Diehl, LPN, NO. 307099-031
• William J Dierberg, M.D.

• Family Nurse Practitioner in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.