Stephanie Jo Kolaske, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

250160 Issued in WI

Practice address

W2798 Silver LN
Bonduel, WI 54107-9148

Phone

(920) 606-9360

NPI assigned

May 18, 2023

Last updated

May 18, 2023By the provider in NPPES

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

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1730870866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2798 SILVER LN",
            "city": "BONDUEL",
            "state": "WI",
            "postal_code": "541079148",
            "telephone_number": "920-606-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W2798 SILVER LN",
            "city": "BONDUEL",
            "state": "WI",
            "postal_code": "541079148",
            "telephone_number": "920-606-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLASKE",
        "first_name": "STEPHANIE",
        "middle_name": "JO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "250160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Medical Group,Inc.
• Kaitlynn A Gueths, SLP
• Emily J Kadow, NP-C
• Scott A Laux, D.C.
• Kevin Robert Lynch, NRAEMT
• Joseph G Mastey, D.D.S.
• Bradley W Miller, PA
• Lisa R Miller

• Registered Nurse in Bonduel, WI
• Providers in Bonduel, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.