Active NPI
Kerrie Renee Kasperek, REGISTERED NURSE
- Home Health Registered Nurse
- Stetsonville, WI
National Provider Identifier
1750899068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 230431
- Practice address
- N412 County Road C
Stetsonville, WI 54480-9543 - Phone
- (715) 965-2849
- NPI assigned
- Jan 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 11624 | WI | |
| Home Health Registered Nurse | 163WH0200X | 230431 | WI | Primary |
Addresses
Primary practice location
N412 County Road C
Stetsonville, WI 54480-9543
Mailing address
N412 County Road C
Stetsonville, WI 54480-9543
Phone (715) 965-2849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230431 | WI | MD | Home Health Registered Nurse |
| 11624 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516492800000",
"number": "1750899068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N412 COUNTY ROAD C",
"city": "STETSONVILLE",
"state": "WI",
"postal_code": "544809543",
"telephone_number": "715-965-2849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N412 COUNTY ROAD C",
"city": "STETSONVILLE",
"state": "WI",
"postal_code": "544809543",
"telephone_number": "715-965-2849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPEREK",
"first_name": "KERRIE",
"middle_name": "RENEE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-21",
"last_updated": "2018-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "11624",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": "230431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stetsonville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.