Deborah R Niesen, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

90285-30 Issued in WI

Practice address

2525 Amys BND
Racine, WI 53402-5505

Phone

(262) 498-2993

NPI assigned

Sep 13, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1750698650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 AMYS BND",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534025505",
            "telephone_number": "262-498-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 AMYS BND",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534025505",
            "telephone_number": "262-498-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESEN",
        "first_name": "DEBORAH",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WI",
            "license": "90285-30",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "90285-30",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WI",
            "license": "90285-30",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "90285-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanphuong Nguyen, DDS
• Sara Kristen Nicholson, O.D.
• Nicole'S Nurturing Care
• Eric Leland Nielsen, RN
• Tara Danielle Nielsen, FNP-BC, APNP
• Julie Nigh
• Irene F Niles, RN
• Nita'S House LLC
• Linda Susan Noer, PH.D, MSW, LCSW,ACSW
• Gretchen May Nofsinger, MSCF-SLP

• Pediatric Registered Nurse in Racine, WI
• Providers in Racine, WI by specialty
• Pediatric Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.