Kim M. Schippers, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

992-023 Issued in WI

Practice address

1110 Oak St Ste 1200
West Bend, WI 53095-3876

Phone

(262) 334-8339

NPI assigned

Jun 17, 2010

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

State licenses

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1750602439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530950632",
            "telephone_number": "262-334-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 OAK ST STE 1200",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953876",
            "telephone_number": "262-334-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIPPERS",
        "first_name": "KIM",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "992-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiernee Schatz, LPC-IT, SAC-IT
• Diane Schauble, LPC
• Bekki Jo Scheel, PA-C
• Dana Marie Scheunemann, M.S. R.D.
• Tanya Lynne Schimek, DPT
• Tammy L Schladweiler, APNP
• Shana J Schloemer, LPC
• Tammy J Schmidt-Donaldson, LCSW
• Becky Jo Schmidt, PT
• Dawn A Schmidt, NP

• Medical Physician Assistant in West Bend, WI
• Providers in West Bend, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.